NPIMap

Organization Active NPI

Interfaith-Leap Inc.

  • Health Maintenance Organization
  • Chimayo, NM
National Provider Identifier
1942365176
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
NM600922 Issued in NM
Legal business name
INTERFAITH-LEAP INC.
Doing business as
interfaith-leap inc.
Practice address
John Hyson Dr.
Chimayo, NM 87522
Phone
(505) 351-2163
Fax
(505) 351-2446
NPI assigned
Dec 27, 2006
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mr. Raymond M Chavez, ETC
Title
Excutive Director
Phone
(505) 351-2163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NM600922 NM Primary

Addresses

Primary practice location

John Hyson Dr.
Chimayo, NM 87522

Mailing address

PO Box 3220
Fairview, NM 87533-3220
Phone (505) 351-2163

Other names 1

  • interfaith-leap inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Interfaith Leap Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1942365176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3220",
            "city": "FAIRVIEW",
            "state": "NM",
            "postal_code": "875333220",
            "telephone_number": "505-351-2163",
            "fax_number": "505-351-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN HYSON DR.",
            "city": "CHIMAYO",
            "state": "NM",
            "postal_code": "87522",
            "telephone_number": "505-351-2163",
            "fax_number": "505-351-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH-LEAP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-351-2163",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "NM600922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "interfaith-leap inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chimayo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.