Organization
UNIVERSITY PSYCHIATRIC HOSPITAL-IP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLA B. WATT (CHIEF FINANCIAL OFFICER)
(505) 272-2644
Entity
Organization
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2861
(505) 272-2016
Mailing address
PO BOX 369, ALBUQUERQUE, NM 87103-0369
(505) 272-2521
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
6005
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000092
—
NM
01
—
0003
CHAMPUS
NM
01
—
2156901
AHCCCS
NM
01
—
450
LOVELACE SALUD
NM
01
—
62308
CIGNA
NM
01
—
NM000006
BCBS
NM
01
—
NM600644
VALUE BEHAVIORAL HEALTH
NM
Enumeration date
01/05/2007
Last updated
08/22/2020
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