Organization
STATE OF NEW MEXICO
Active
Organization
STATE OF NEW MEXICO
Active
Parent organization
NM DEPARTMENT OF HEALTH
Other names
NM Department of Health Turquoise Lodge Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
NM DEPARTMENT OF HEALTH
Authorized official
JEFF LAMURE (ADMINISTRATOR)
(505) 383-1122
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 841-8978
(505) 383-1190
Mailing address
5400 GIBSON BLVD SE, BOX 13, ALBUQUERQUE, NM 87108-4729
(505) 841-8978
(505) 383-1190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
6306
NM
284300000X
Special Hospital
Primary
6306
NM
324500000X
Substance Abuse Rehabilitation Facility
6306
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08209332
—
NM
05
—
50454315
—
NM
05
—
8209332
—
NM
Enumeration date
09/27/2006
Last updated
02/24/2025
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