NPIMap

Organization Active NPI

Forensic Intervention Consortium of Dona Ana County

  • Community Health Worker
  • Las Cruces, NM
National Provider Identifier
1932339108
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
FORENSIC INTERVENTION CONSORTIUM OF DONA ANA COUNTY
Practice address
225 E Idaho Ave
Suite 35
Las Cruces, NM 88005-3257
Phone
(575) 523-8015
Fax
(575) 523-8418
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Authorized official

Name
Ron Gurley
Title
Executive Director
Phone
(575) 523-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

225 E Idaho Ave
Suite 35
Las Cruces, NM 88005-3257

Mailing address

PO Box 16466
Las Cruces, NM 88004-6466
Phone (575) 523-8015

National Provider Directory

National Provider Directory

Locations

225 E Idaho Ave
Ste 35
Las Cruces, NM 88005
Phone (575) 523-8015

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1932339108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16466",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046466",
            "telephone_number": "575-523-8015",
            "fax_number": "575-523-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE",
            "address_2": "SUITE 35",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053257",
            "telephone_number": "575-523-8015",
            "fax_number": "575-523-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC INTERVENTION CONSORTIUM OF DONA ANA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-523-8015"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.