The Community Foundation of Southern New Mexico

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO

Practice address

5700 Mesa Grande
Onate High School - Based Health Clinic
Las Cruces, NM 88012

Phone

(575) 527-9430

Fax

(575) 527-9444

NPI assigned

Jan 21, 2009

Organization subpart

Yes

Parent organization

THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICOAs reported in NPPES

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

Authorized official

Name

Cynthia Solum

Title

Administrative Assistant

Phone

(575) 521-4794

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Onate High School - Based Health Center (Adolescente Services) Other name

Tax ID family

The Community Foundation of Southern New Mexico5 organizations share this tax ID, including this one

Part of

The Community Foundation of Southern New Mexico

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Anthony, NM
  • NPI 1013155738
  NPD tax ID
• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1124331103
  NPD tax ID
• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1245470061
  NPD tax ID
• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Chaparral, NM
  • NPI 1407094980
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1124331103
  NPPES parent name

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1780822247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST",
            "address_2": "STE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013547",
            "telephone_number": "575-521-4794",
            "fax_number": "575-521-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MESA GRANDE",
            "address_2": "ONATE HIGH SCHOOL - BASED HEALTH CLINIC",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88012",
            "telephone_number": "575-527-9430",
            "fax_number": "575-527-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "SOLUM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "575-521-4794"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D02",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onate High School - Based Health Center (Adolescente Services)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Student Health Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Student Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.