Alfred C Chavez, B.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3616 Issued in NM

Practice address

149 Camino del Cielo
Yucca Lodge
Fort Bayard, NM 88036

Phone

(575) 537-8831

Fax

(575) 537-3760

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NM Department of Health

  dba Ft Bayary Medical Centter, Yucca Lodge

  • Substance Abuse Rehabilitation Facility
  • Fort Bayard, NM
  • NPI 1063641819
  NPD (past) Authorized official

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1891926762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36216",
            "city": "FORT BAYARD",
            "state": "NM",
            "postal_code": "880366216",
            "telephone_number": "575-537-8831",
            "fax_number": "575-537-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CAMINO DEL CIELO",
            "address_2": "YUCCA LODGE",
            "city": "FORT BAYARD",
            "state": "NM",
            "postal_code": "88036",
            "telephone_number": "575-537-8831",
            "fax_number": "575-537-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ALFRED",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Bayard Medical Center
• Kaylin S Henderson, PT
• Joseph Patrick Jaurequi, PHARM D
• Margaret Clark Jones, PHYSICAL THERAPIST
• NM Department of Health (Ft Bayary Medical Centter, Yucca Lodge)

• Addiction (Substance Use Disorder) Counselor in Fort Bayard, NM
• Providers in Fort Bayard, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.