Active NPI
Alta Mira Specialized Family Services, Inc.
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1699833640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALTA MIRA SPECIALIZED FAMILY SERVICES, INC.
- Practice address
- 1605 Carlisle Blvd NE
Albuquerque, NM 87110-5619 - Phone
- (505) 262-0801
- Fax
- (505) 262-0845
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jim Copeland
- Title
- Executive Director
- Phone
- (505) 262-0801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Voluntary or Charitable Agency | 251V00000X |
Addresses
Primary practice location
1605 Carlisle Blvd NE
Albuquerque, NM 87110-5619
Mailing address
1605 Carlisle Blvd NE
Albuquerque, NM 87110-5619
Phone (505) 262-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E7208 | Medicaid | NM | |
| 000D0067 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- Alta Mira Specialized Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Early Intervention Provider Agency
- Albuquerque, NM
- NPI 1629524434
Locations
1605 Carlisle Blvd NE
Albuquerque, NM 87110
Phone (505) 262-0801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203897600000",
"number": "1699833640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105619",
"telephone_number": "505-262-0801",
"fax_number": "505-262-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 CARLISLE BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105619",
"telephone_number": "505-262-0801",
"fax_number": "505-262-0845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTA MIRA SPECIALIZED FAMILY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2008-02-25",
"status": "A",
"authorized_official_last_name": "COPELAND",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "505-262-0801",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E7208",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000D0067",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.