NPIMap

Organization Active NPI

US Dept. Health & Human Services - Usphs Indian Health Services

Doing business as New Sunrise Regional Treatment Center

  • Substance Abuse Rehabilitation Facility
  • San Fidel, NM
National Provider Identifier
1740333160
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
US DEPT. HEALTH & HUMAN SERVICES - USPHS INDIAN HEALTH SERVICES
Doing business as
New Sunrise Regional Treatment Center
Practice address
20 Mockingbird Dr.
San Fidel, NM 87049
Phone
(505) 552-5500
Fax
(505) 552-5530
NPI assigned
Jan 19, 2007
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Janay Cedarface, MBA
Title
Chief Executive Officer
Phone
(505) 552-5500

Specialties & licenses 1

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

Addresses

Primary practice location

20 Mockingbird Dr.
San Fidel, NM 87049

Mailing address

P.O. Box 219
San Fidel, NM 87049
Phone (505) 552-5500

Other identifiers 3

IdentifierTypeStateIssuer
642985MedicaidAZ
95715MedicaidNM
87924277MedicaidCO

Other names 1

  • New Sunrise Regional Treatment Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1740333160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 219",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "87049",
            "telephone_number": "505-552-5500",
            "fax_number": "505-552-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MOCKINGBIRD DR.",
            "city": "SAN FIDEL",
            "state": "NM",
            "postal_code": "87049",
            "telephone_number": "505-552-5500",
            "fax_number": "505-552-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DEPT. HEALTH & HUMAN SERVICES - USPHS INDIAN HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "CEDARFACE",
        "authorized_official_first_name": "JANAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-552-5500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "642985",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95715",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87924277",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Sunrise Regional Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Fidel, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.