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Organization

UNM HEALTH SCIENCES CENTER P

Active
Other names
Children Psychiatric Center
Organization subpart
No

Provider details

NPI number
Authorized official
ELLA B. WATT (CFO)
(505) 272-2644
Entity
Organization

Contact information

Practice address
1001 YALE BLVD NE, ALBUQUERQUE, NM 87106-3825
(505) 272-2210
(505) 272-0052
Mailing address
PO BOX 369, ALBUQUERQUE, NM 87103-0369
(505) 272-2521

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
6005
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003
CHAMPUS
NM
05
00092
NM
01
02156901
AHCCCS
NM
01
29966
PRESBYTERIAN HEALTH PLAN
NM
01
450
LOVELACE SALUD
NM
01
60054
AETNA
NM
01
62308
CIGNA
NM
01
NM000006
BCBS
NM
Enumeration date
02/22/2007
Last updated
08/22/2020
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