Active NPI
PMS Western NM Behavioral Health
- Case Management Agency
- Gallup, NM
National Provider Identifier
1720189996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Services
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.
-
- Behavior Analyst
- Berino, NM
- NPI 1881919165
-
- Health Service Clinic/Center
- Albuquerque, NM
- NPI 1952657678
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.