RIO GRANDE ALCOHOLISM TREATMENT PROGRAM
NPI 1992140305
Community/Behavioral Health in Las Vegas, NM

NPI Status: Active since April 30, 2013

Contact Information

2301 7TH ST
LAS VEGAS, NM
ZIP 87701
Phone: (505) 579-4253

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  • Organization
  • Community/Behavioral Health

About RIO GRANDE ALCOHOLISM TREATMENT PROGRAM

This page provides the complete NPI Profile along with additional information for Rio Grande Alcoholism Treatment Program, a provider established in Las Vegas, New Mexico operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1992140305 assigned on April 2013. The practitioner's primary taxonomy code is 251S00000X with license number 101YA0400X (NM). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Lawrence A Medina Mba (Executive Director)

NPI
1992140305
Provider Name
RIO GRANDE ALCOHOLISM TREATMENT PROGRAM
Entity Type
Organization
Location Address
2301 7TH ST LAS VEGAS, NM 87701
Location Phone
(505) 579-4253
Mailing Address
2301 7TH ST LAS VEGAS, NM 87701
Mailing Phone
(505) 579-4253
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2013
Last Update Date
04-30-2013
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
101YA0400X
License State
NM
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

1754 (NM)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LAWRENCE A MEDINA MBA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(505) 579-4253

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========MEDICAID (05)NM 

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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.
1992140305
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918224030
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 2 + 4 + 0 + 3 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1992140305 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710086749DR. JERRY K WILLIAMS JR. M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)2301 7TH ST SUITE B
LAS VEGAS, NM 87701
(505) 426-1200
1003250572MRS. MARIA L VIGIL LPCC, LMSW
Individual
Counselor (Professional)2301 7TH ST
LAS VEGAS, NM 87701
(505) 454-9611
1578012506 BERNADETTE MONTOYA L.M.H.C.
Individual
Counselor (Mental Health)2301 7TH ST
LAS VEGAS, NM 87701
(505) 454-9611
1447752951 CHRIS SIXTO MANZANARES LADAC, LBSW
Individual
Counselor (Addiction (Substance Use Disorder))2301 7TH ST
LAS VEGAS, NM 87701
(505) 454-9611
1306830450SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY
Organization
Urology2301 7TH ST
LAS VEGAS, NM 87701
(505) 454-4000
1942625744LINCARE INC
Organization
Durable Medical Equipment & Medical Supplies2301 7TH ST SUITE B
LAS VEGAS, NM 87701
(727) 431-8462

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992140305, enumerated in the NPI registry as an "organization" on April 30, 2013

The provider is located at 2301 7th St Las Vegas, Nm 87701 and the phone number is (505) 579-4253

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 30, 2013. 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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