Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF NEW MEXICO
Deactivated OrganizationSTATE OF NEW MEXICO is a Long Term Care Hospital organization located in SANTA CLARA, New Mexico. NPI 1982730669 is deactivated in the NPPES registry. Verify at CMS.
Long Term Care Hospital · SANTA CLARA, NM
This NPI has been deactivated.
The record was deactivated on February 13, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1982730669
- Provider Type
- Organization
- NPI Issued
- Feb 26, 2007 (9.9644808743169 yrs)
- Last Updated
- Dec 12, 2024
- Deactivated
- Feb 13, 2017
- Licenses
-
5011 (NM)5011 (NM)
Practice Information
- Address
-
41 FORT BAYARD ROADSANTA CLARA, NM, 88026Browse NM providers · Browse ZIP 88026
- Phone
- 5755378600
- Fax
- 5755378869
- Primary Specialty
-
Long Term Care Hospital
282E00000X
- Additional Specialty
- Skilled Nursing Facility
- Additional Specialty
- Long Term Care Hospital
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.