# DEPARTMENT OF HEALTH, PUBLIC HEALTH DIVISION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Childrens Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629228697
- **Authorized official:** MS. DEBRA LOPEZ (CLAIMS MANAGER)
- **Authorized official phone:** (505) 827-0664

## Contact information

- **Practice address:** 1190 S SAINT FRANCIS DR, S1073, SANTA FE, NM 87505-4173
- **Practice address phone:** (505) 827-0664
- **Practice address fax:** (505) 827-2329
- **Mailing address:** 1190 S SAINT FRANCIS DR, SANTA FE, NM 87505-4173
- **Mailing address phone:** (505) 827-0664
- **Mailing address fax:** (505) 827-2329

## Taxonomy

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

## Other

- **Enumeration date:** 09/25/2008
- **Last updated:** 09/25/2008
