# STATE OF NEW MEXICO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF NEW MEXICO
- **Other names:** New Mexico State Veterans Home Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578730230
- **Legal business name:** STATE OF NEW MEXICO
- **Authorized official:** MRS. MARIE R RICHTER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (575) 894-4216

## Contact information

- **Practice address:** 992 S BROADWAY, TRUTH OR CONSEQUENCES, NM 87901-3198
- **Practice address phone:** (575) 894-4254
- **Practice address fax:** (575) 894-4294
- **Mailing address:** 992 S BROADWAY, TRUTH OR CONSEQUENCES, NM 87901-3198
- **Mailing address phone:** (575) 894-4254
- **Mailing address fax:** (575) 894-4291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5087 | NM | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 08/26/2009