Chaves County Casa Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHAVES COUNTY CASA PROGRAM

Practice address

500 N Main St
#310
Roswell, NM 88201-4729

Phone

(505) 625-0112

Fax

(505) 625-0213

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carrie L Cloutier

Title

Executive Director

Phone

(505) 625-0112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871710657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NORTH MAIN",
            "address_2": "#310",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-625-0112",
            "fax_number": "505-625-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "address_2": "#310",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014729",
            "telephone_number": "505-625-0112",
            "fax_number": "505-625-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVES COUNTY CASA PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-625-0112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lore Chamberlin
• Ho Shik Chang, PHARM.D.
• Yun Shik Chang
• Stella Chapman, COTA/L
• Aisha N Charles, JD, LCSW, LICSW
• Chaves County Joy Centers, Inc.
• Chaves County New Mexico Hospital Company LLC
• Chaves Emergency Group LLC
• Chaves Emergency Physicians, LLC
• Chaves Physician Services, LLC

• Community/Behavioral Health Agency in Roswell, NM
• Providers in Roswell, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• 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.