NPIMap

Organization Active NPI

Rio Grande Alcoholism Treatment Program

  • Community/Behavioral Health Agency
  • Las Vegas, NM
National Provider Identifier
1992140305
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101YA0400X Issued in NM
Legal business name
RIO GRANDE ALCOHOLISM TREATMENT PROGRAM
Practice address
2301 7TH St
Las Vegas, NM 87701-4966
Phone
(505) 579-4253
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Mr. Lawrence A Medina, MBA
Title
Executive Director
Phone
(505) 579-4253

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YA0400X NM Primary
Community/Behavioral Health Agency 251S00000X 1754 NM

Addresses

Primary practice location

2301 7TH St
Las Vegas, NM 87701-4966

Mailing address

2301 7TH St
Las Vegas, NM 87701-4966
Phone (505) 579-4253

National Provider Directory

National Provider Directory
Tax ID family
Rio Grande Alcoholism Treatment Program2 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.

Locations

2301 7th St
Las Vegas, NM 87701
Phone (505) 454-4000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1992140305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 7TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014966",
            "telephone_number": "505-579-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 7TH ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014966",
            "telephone_number": "505-579-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE ALCOHOLISM TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-579-4253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "101YA0400X",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "1754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.