Organization
UNM HEALTH SCIENCES CENTER P
Active
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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