Organization Active NPI

Bootheel Youth Association

  • Community/Behavioral Health Agency
  • Lordsburg, NM
National Provider Identifier
1962632927
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BOOTHEEL YOUTH ASSOCIATION
Practice address
618 Pyramid St
Lordsburg, NM 88045-2000
Phone
(575) 542-3908
Fax
(575) 542-3908
NPI assigned
Jul 23, 2009
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Christine Ortiz
Title
Bya Coordinator
Phone
(575) 542-3908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

618 Pyramid St
Lordsburg, NM 88045-2000

Mailing address

618 Pyramid St
Lordsburg, NM 88045-2000
Phone (575) 542-3908

National Provider Directory

National Provider Directory

Locations

618 Pyramid St
Lordsburg, NM 88045
Phone (575) 542-3908

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1962632927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PYRAMID ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452000",
            "telephone_number": "575-542-3908",
            "fax_number": "575-542-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PYRAMID ST",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452000",
            "telephone_number": "575-542-3908",
            "fax_number": "575-542-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHEEL YOUTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "BYA COORDINATOR",
        "authorized_official_telephone_number": "575-542-3908"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lordsburg, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.