COYOTE CANYON REHABILITATION CENTER, INC. – NPI #1255622965
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

COYOTE CANYON REHABILITATION CENTER, INC. is a residential treatment facility located in BRIMHALL NIZHONI, NM. NPPES has assigned the NPI number 1255622965 to COYOTE CANYON REHABILITATION CENTER, INC. on April 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 COYOTE CANYON REHABILITATION CENTER, INC. below.

NPI Profile for
COYOTE CANYON REHABILITATION CENTER, INC.

NPI Number
1255622965
Enumeration Date

(more than 15 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
COYOTE CANYON REHABILITATION CENTER, INC.
Primary location
10 MILES EAST NAVAJO ROUTE #9
BRIMHALL NIZHONI, NM 87310
Phone: (505) 735-2261 Fax: (505) 735-2013
Mailing address
PO BOX 158
BRIMHALL, NM 87310-0158
Phone: (505) 735-2261 Fax: (505) 735-2013
Organization Subpart
No
Authorized Official
MACDONALD AVERY
EXECUTIVE DIRECTOR
Phone: (505) 735-2002
Updated
Identifiers

Identifiers for COYOTE CANYON REHABILITATION CENTER, INC.

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
MEDICAIDNMD2167
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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
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.