Organization
BERNALILLO PUBLIC SCHOOLS (BPS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL CANDELARIA (MEDICAID BILLING COORDINATOR)
(505) 404-5716
Entity
Organization
Contact information
Practice address
560 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5803
(505) 404-5716
Mailing address
560 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M-07714
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H8226
—
NM
Enumeration date
08/18/2016
Last updated
08/18/2016
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