Organization
ALTA MIRA SPECIALIZED FAMILY SERVICES
Active
Organization
ALTA MIRA SPECIALIZED FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM COPELAND (EXECUTIVE DIRECTOR)
(505) 366-2117
Entity
Organization
Contact information
Practice address
1605 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5619
(505) 262-0801
(505) 262-0845
Mailing address
1605 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-5619
(505) 262-0801
(505) 262-0845
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7208
—
NM
Enumeration date
08/31/2016
Last updated
08/31/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up