Organization Active NPI

PMS Western NM Behavioral Health

  • Case Management Agency
  • Gallup, NM
National Provider Identifier
1720189996
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PMS WESTERN NM BEHAVIORAL HEALTH
Practice address
2025 E Aztec Ave
Gallup, NM 87301-4803
Phone
(505) 863-3828
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Audrey Michelle Martinez
Title
Case Manager
Phone
(505) 863-3828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2025 E Aztec Ave
Gallup, NM 87301-4803

Mailing address

PO Box 2499
Gallup, NM 87305-2499
Phone (505) 863-3828

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2025 E Aztec Ave
Gallup, NM 87301
Phone (505) 863-3120

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720189996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2499",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873052499",
            "telephone_number": "505-863-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014803",
            "telephone_number": "505-863-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMS WESTERN NM BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "505-863-3828"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.