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Organization

NEW MEXICO CORRECTIONS DEPARTMENT - HSD

Active
Parent organization
STATE OF NEW MEXICO
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEW MEXICO
Authorized official
GREG NELSON (BUREAU CHIEF)
(505) 331-8562
Entity
Organization

Contact information

Practice address
4337 STATE HIGHWAY 14, SANTA FE, NM 87508-1530
(505) 629-5573
Mailing address
4337 STATE HIGHWAY 14, SANTA FE, NM 87508-1530
(505) 629-5573

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
104100000X
Social Worker
163W00000X
Registered Nurse
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
06/20/2025
Last updated
06/20/2025
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