Charlie Mike Base Camp

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CHARLIE MIKE BASE CAMP

Practice address

225 E Idaho Ave Ste 27
Las Cruces, NM 88005-3242

Phone

(575) 571-1016

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Charles Gates

Title

Executive Director

Phone

(575) 571-1016

Specialties & licenses 3

Addresses

Other names 2

• Charlie Mike Doing business as
• CMBC Other name

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1699245050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "FAIRACRES",
            "state": "NM",
            "postal_code": "880331676",
            "telephone_number": "575-571-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE STE 27",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053242",
            "telephone_number": "575-571-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE MIKE BASE CAMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-571-1016"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlie Mike",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CMBC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Change of Heart Behavior Services LLC
• Change of Thought Intergrated Health Solutions
• Patricia Vanessa Chaparro, RDH
• Susan 'Christy' Christine Chapman, RN, BSN
• Charles D. Collins, MD, Facs
• Charlotte'S Fashions, LLC
• Gregory Alan Charlton, M.D.
• Hunana Chaudhry, DMD
• Patricia Marie Chavana, CERTIFIED NURSE PRAC
• Nicole Chavarria, RN

• Case Management Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.