Organization Name: | STATE OF NEW MEXICO |
NPI Number: | 1578609459 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA E. MARTINEZ (DEPUTY DIRECTOR, FINANCE AND ADMINI) |
Mailing Address: | 605 Letrado Santa Fe |
State: | NM US |
Postal Code: | 87505 |
Phone Number: | 5054762600 |
Fax Number: | 5054762692 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |