Organization Active NPI

Recovery Services of New Mexico

  • Addiction (Substance Use Disorder) Registered Nurse
  • Belen, NM
National Provider Identifier
1871167197
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
Legal business name
RECOVERY SERVICES OF NEW MEXICO
Practice address
2443 State Highway 47
Belen, NM 87002-5930
Phone
(505) 861-2066
Fax
(505) 861-2068
NPI assigned
May 20, 2021
Last updated
Jun 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Vivian Rascon, RN
Title
Dispensing Nurse
Phone
(505) 620-1607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X Primary

Addresses

Primary practice location

2443 State Highway 47
Belen, NM 87002-5930

Mailing address

2443 State Highway 47
Belen, NM 87002-5930
Phone (505) 861-2066

Other names 1

  • Baymark Health Services Other name

National Provider Directory

National Provider Directory

Locations

2443 State Highway 47
Belen, NM 87002
Phone (505) 359-7044

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1871167197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 STATE HIGHWAY 47",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870025930",
            "telephone_number": "505-861-2066",
            "fax_number": "505-861-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2443 STATE HIGHWAY 47",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870025930",
            "telephone_number": "505-861-2066",
            "fax_number": "505-861-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY SERVICES OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "RASCON",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "DISPENSING NURSE",
        "authorized_official_telephone_number": "505-620-1607",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baymark Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.