PMS WESTERN NM BEHAVIORAL HEALTH
NPI 1720189996
Case Management in Gallup, NM
NPI Status: Active since September 26, 2006
- Organization
- Case Management
- CLIA Number: 32D0917465
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 07-18-2026
About PMS WESTERN NM BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Pms Western Nm Behavioral Health, a provider established in Gallup, New Mexico operating as a Case Management. The healthcare provider is registered in the NPI registry with number 1720189996 assigned on September 2006. The practitioner's primary taxonomy code is 251B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Audrey Michelle Martinez (Case Manager)
- NPI
- 1720189996
- Provider Name
- PMS WESTERN NM BEHAVIORAL HEALTH
- Entity Type
- Organization
- Location Address
- 2025 E AZTEC AVE GALLUP, NM 87301
- Location Phone
- (505) 863-3828
- Mailing Address
- PO BOX 2499 GALLUP, NM 87305
- Mailing Phone
- (505) 863-3828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-26-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D0917465
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- July 19, 2024
- Certificate Expiration Date
- July 18, 2026
- Laboratory Director
- TAMMY BIHM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pms Western Nm Behavioral Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 1 | 8 | 9 | 9 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 2 | 8 | 18 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 2 + 8 + 1 + 8 + 9 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1720189996 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053346171 | TRISTAN GLENN KELLER LISW Individual | Social Worker (Clinical) | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1881603181 | MRS. NANCY KAY YATES-EAMICK NCC, LPC, LPCC Individual | Counselor (Professional) | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1730280090 | MRS. MARGO MICHELLE PATTERSON CASE MANAGER Individual | Social Worker (Clinical) | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1528272259 | MR. WAYNE A WILCKEN M.S. Individual | Counselor (Mental Health) | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1598948879 | DEBRA BETH SCHAPIRO Individual | Counselor (Mental Health) | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1255650339 | ALICE BYBEE Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1871812990 | SHANNON ROANHORSE Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1366761405 | MR. ANTONIO LEE Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1568781680 | RACHEL SANCHEZ Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1639465552 | MARLA DAMON Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1407120744 | BRIAN PIERCE Individual | Community Health Worker | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1386998813 | MRS. CHELSEA LINN KETTERING BA Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1245670421 | FRANCES B ANDABLO Individual | Behavior Analyst | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1063627354 | LEROY JIM LPCC, CRC Individual | Counselor (Professional) | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1871085654 | CHRISTINA M. FRANCISCO Individual | Case Manager/Care Coordinator | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1710541081 | WILLARD EASTMAN Individual | Case Manager/Care Coordinator | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1932763729 | MR. LEANDER NELSON Individual | Case Manager/Care Coordinator | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1316594088 | BRENDA LYNN PADILLA CSW Individual | Case Manager/Care Coordinator | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
| 1538504477 | MR. ALIE NIZAM MUHSIN LMFT Individual | Marriage & Family Therapist | 2025 E AZTEC AVE GALLUP, NM 87301 (808) 428-0085 |
| 1841540770 | MISS EMMA JOAN BARTLETT LMFT Individual | Marriage & Family Therapist | 2025 E AZTEC AVE GALLUP, NM 87301 (505) 863-3828 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720189996, enumerated in the NPI registry as an "organization" on September 26, 2006
The provider is located at 2025 E Aztec Ave Gallup, Nm 87301 and the phone number is (505) 863-3828
This medical organization specializes in Case Management with taxonomy code 251B00000X
The provider's CLIA number is 32D0917465 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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