Organization
COMMUNITY SERVICES CENTER
Active
Other names
Community Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIE M MADRID (EXECUTIVE DIRECTOR)
(575) 356-8576
Entity
Organization
Contact information
Practice address
1100 COMMUNITY WAY, PORTALES, NM 88130-6600
(575) 356-8576
(575) 356-8031
Mailing address
1100 COMMUNITY WAY, PORTALES, NM 88130-6600
(575) 356-8576
(575) 356-8031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
5468
NM
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41935730
—
NM
05
—
93402031
—
NM
Enumeration date
12/05/2016
Last updated
03/24/2026
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