Organization
MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL BICKELMAN (CEO)
(505) 352-3132
Entity
Organization
Contact information
Practice address
806 CENTRAL AVE SE, ALBUQUERQUE, NM 87102-3606
(505) 247-0220
(505) 839-1296
Mailing address
806 CENTRAL AVE SE, ALBUQUERQUE, NM 87102-3606
(505) 247-0220
(505) 839-1296
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
1100
NM
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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