Active NPI
Bootheel Youth Association
- Community/Behavioral Health Agency
- Lordsburg, NM
National Provider Identifier
1962632927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.