# MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003025883
- **Authorized official:** MS. CAROL BICKELMAN (CEO)
- **Authorized official phone:** (505) 352-3132

## Contact information

- **Practice address:** 806 CENTRAL AVE SE, ALBUQUERQUE, NM 87102-3606
- **Practice address phone:** (505) 247-0220
- **Practice address fax:** (505) 839-1296
- **Mailing address:** 806 CENTRAL AVE SE, ALBUQUERQUE, NM 87102-3606
- **Mailing address phone:** (505) 247-0220
- **Mailing address fax:** (505) 839-1296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 1100 | NM | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020