NPIMap

Organization Active NPI

Four Winds Recovery Center,Inc

  • Substance Abuse Rehabilitation Facility
  • Farmington, NM
National Provider Identifier
1669539656
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
5316 Issued in NM
Legal business name
FOUR WINDS RECOVERY CENTER,INC
Practice address
1313 Mission Ave.
Farmington, NM 87401-5008
Phone
(505) 327-7218
Fax
(505) 327-0828
NPI assigned
Jan 2, 2007
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jolene Marie Schneider, BA, LADACNPI 1376563049
Title
Executive Director
Phone
(505) 327-7218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 5316 NM Primary

Addresses

Primary practice location

1313 Mission Ave.
Farmington, NM 87401-5008

Mailing address

1313 Mission Ave.
Farmington, NM 87401-5008
Phone (505) 327-7218

Other names 1

  • San Juan Detoxification Center,INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1669539656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 MISSION AVE.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015008",
            "telephone_number": "505-327-7218",
            "fax_number": "505-327-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 MISSION AVE.",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015008",
            "telephone_number": "505-327-7218",
            "fax_number": "505-327-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR WINDS RECOVERY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-327-7218",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA, LADAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Detoxification Center,INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.