NEW MOON LODGE – NPI #1679007744
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

NEW MOON LODGE is a community based residential treatment facility located in OHKAY OWINGEH, NM. NPPES has assigned the NPI number 1679007744 to NEW MOON LODGE on April 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEW MOON LODGE” is a dba name, the actual legal business name for this organization is EIGHT NORTHERN INDIAN PUEBLOS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 NEW MOON LODGE below.

NPI Profile for
EIGHT NORTHERN INDIAN PUEBLOS

NPI Number
1679007744
Enumeration Date

(more than 9 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
EIGHT NORTHERN INDIAN PUEBLOS
Doing Business As (dba): NEW MOON LODGE
Primary location
579 WHITE SWAN RD
327 EAGLE DRIVE
OHKAY OWINGEH, NM 87566
Phone: (505) 852-2788 Fax:
Mailing address
PO BOX 969
327 EAGLE DRIVE
OHKAY OWINGEH, NM 87566-0969
Phone: (575) 751-7688 Fax:
Organization Subpart
No
Authorized Official
DOROTHY FORBES
PROGRAM DIRECTOR
Phone: (505) 692-5034
Updated
Identifiers

Identifiers for NEW MOON LODGE

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
MEDICAIDNM28585810
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.

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.