MESCALERO APACHE TRIBE – NPI #1245804301
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.

MESCALERO APACHE TRIBE is a substance abuse rehabilitation facility located in MESCALERO, NM. NPPES has assigned the NPI number 1245804301 to MESCALERO APACHE TRIBE on May 13, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. 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 MESCALERO APACHE TRIBE below.

NPI Profile for
MESCALERO APACHE TRIBE

NPI Number
1245804301
Enumeration Date

(more than 5 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
MESCALERO APACHE TRIBE
Other name(s)
All associated names:
Doing Business As (dba)
Four Directions Treatment and Recovery Center
Former Legal Business Name
Mescalero Tribal Human Services
Primary location
107 SUNSET LOOP
MESCALERO, NM 88340-8834
Phone: (575) 464-4432 Fax: (575) 464-4331
Mailing address
PO BOX 228
MESCALERO, NM 88340-0228
Phone: (575) 464-4432 Fax: (575) 464-4331
Organization Subpart
Yes - MESCALERO APACHE TRIBE is subpart of another organization.
Authorized Official
VERALYN MENDEZ
DIRECTOR
Phone: (575) 464-4432
Updated
Certification Date
Apr 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MESCALERO APACHE TRIBE

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
MEDICAIDNM33555567
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.