# STATE OF NEW MEXICO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF NEW MEXICO
- **Other names:** Medical Assistance Division
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457539322
- **Legal business name:** STATE OF NEW MEXICO
- **Authorized official:** ROBERT STEVENS RPH (CHIEF)
- **Authorized official phone:** (505) 827-6207

## Contact information

- **Practice address:** 2025 S PACHECO ST, SANTA FE, NM 87505-3991
- **Practice address phone:** (505) 827-3100
- **Mailing address:** PO BOX 2348, SANTA FE, NM 87504-2348
- **Mailing address phone:** (505) 827-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 02/04/2008