Our Lady of Mount Carmel

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

RTC#4372 Issued in NM

Legal business name

OUR LADY OF MOUNT CARMEL

Practice address

300 Mount Carmel Ave
Gallup, NM 87301-7411

Phone

(505) 722-9411

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Rose Marie Holden, NHA

Title

Administrator

Phone

(505) 722-9411

Specialties & licenses 2

Addresses

Other identifiers 4

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1962569640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT CARMEL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017411",
            "telephone_number": "505-722-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT CARMEL AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873017411",
            "telephone_number": "505-722-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF MOUNT CARMEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-722-9411",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "RTC#4372",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NM",
            "license": "RTC#4372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS VENDOR ID",
            "identifier": "VNM30195",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "NM600391",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NM LICENSE #",
            "identifier": "RTC#4372",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Gallup, NM
• Providers in Gallup, NM by specialty
• Psychiatric Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.