ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER – NPI #1013190610
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER is an AHC clinic located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1013190610 to ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER on December 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER” is a dba name, the actual legal business name for this organization is ROBERT F. KENNEDY CHARTER HIGH SCHOOL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 16 years ago on Mar 04, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER below.

NPI Profile for
ROBERT F. KENNEDY CHARTER HIGH SCHOOL

NPI Number
1013190610
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROBERT F. KENNEDY CHARTER HIGH SCHOOL
Doing Business As (dba): ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER
Primary location
4300 BLAKE SW
ALBUQUERQUE, NM 87121
Phone: (505) 243-1118 Fax: (505) 242-7444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BONNIE KAUEMAN
ROBERT. F. KENNEDY SBHC COORDINATOR
Phone: (505) 239-7589
Updated
Identifiers

Identifiers for ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM1C01
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
NM
3336C0002X
- Pharmacy / Clinic Pharmacy
NM CL00D110644
291U00000X
- Clinical Medical Laboratory
NM 3201078041
251S00000X
- Community/Behavioral Health
NM

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.