FT BAYARY MEDICAL CENTTER, YUCCA LODGE – NPI #1063641819
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
FT BAYARY MEDICAL CENTTER, YUCCA LODGE is a substance abuse rehabilitation facility located in FORT BAYARD, NM. NPPES has assigned the NPI number 1063641819 to FT BAYARY MEDICAL CENTTER, YUCCA LODGE on July 14, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FT BAYARY MEDICAL CENTTER, YUCCA LODGE” is a dba name, the actual legal business name for this organization is NM DEPARTMENT OF HEALTH. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
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 FT BAYARY MEDICAL CENTTER, YUCCA LODGE below.
NPI Profile for
NM DEPARTMENT OF HEALTH
(about 17 years ago)
FORT BAYARD, NM 88036 Phone: (575) 537-8831 Fax: (575) 537-8886
FORT BAYARD, NM 88036-6216 Phone: (575) 537-8831 Fax: (575) 537-8886
CLINICAL SUPERVISOR
Phone: (575) 537-8831
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 |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
NM | 5610 |
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.