Organization
HOGARES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY JO ARCHER (CEO)
(505) 345-8471
Entity
Organization
Contact information
Practice address
1218 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3752
(505) 345-8471
(505) 342-5414
Mailing address
PO BOX 6485, ALBUQUERQUE, NM 87197-6485
(505) 345-8471
(505) 342-5414
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM600253
HEALTH PLAN PIN
NM
01
—
VNM30305NO
HEALTH PLAN PROVIDER #
NM
01
—
VNM30306NO
HEALTH PLAN PROVIDER #
NM
01
—
VNM30308NO
HEALTH PLAN PROVIDER #
NM
01
—
VNM30330NO
HEALTH PLAN PROVIDER #
NM
01
—
VNM3039NO
HEALTH PLAN PROVIDER #
NM
01
—
VNM30495MD
HEALTH PLAN PROVIDER #
NM
01
—
VNM30495NI
HEALTH PLAN PROVIDER #
NM
01
—
VNM30495NO
HEALTH PLAN PROVIDER #
NM
Enumeration date
03/28/2007
Last updated
04/28/2009
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