Organization
BASIN COORDINATED HEALTHCARE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NELSON (ADMINISTRATOR)
(505) 324-8269
Entity
Organization
Contact information
Practice address
210 N ORCHARD AVE, FARMINGTON, NM 87401-6225
(505) 324-8269
(505) 324-8387
Mailing address
210 N ORCHARD AVE, FARMINGTON, NM 87401-6225
(505) 324-8269
(505) 324-8387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6635
NM
251E00000X
Home Health Agency
6635
NM
251J00000X
Nursing Care Agency
6635
NM
3747P1801X
Personal Care Attendant
Primary
6635
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D2337
—
NM
05
—
N2631
—
NM
05
—
Z8426
—
NM
Enumeration date
02/15/2006
Last updated
07/06/2011
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