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State Of New Mexico
Skilled Nursing Facility in Santa Clara, New Mexico
NPI 1982730669

State Of New Mexico is a Skilled Nursing Facility based in Santa Clara, NM. State Of New Mexico practices in Santa Clara, NM. The NPI Number for State Of New Mexico is 1982730669 and holds a License No. 5011 (New Mexico).

The current practice location address for State Of New Mexico is 41 Fort Bayard Road, Santa Clara, NM and can be reached out via phone at 575-537-8600 and via fax at 575-537-8869.

Location: 41 Fort Bayard Road, Santa Clara, NM, 88026-0293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982730669
Provider Name
State Of New Mexico
Credential
Provider Entity Type
Organization
Address
41 Fort Bayard Road, Santa Clara, NM, 88026-0293
Phone Number
575-537-8600
Fax Number
575-537-8869
Provider Enumeration Date
02/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM00N526 01 NM BLUE CROSS BLUE SHIELD
014 01 NM MOLINA HEALTHCARE
51972786 05 NM
3204574 01 NM N.A.B.P. IDENTIFIER #
50716 05 NM
AL3362097 01 NM D.E. A. IDENTIFIER NUMBER
institution
Provider Business Practice Location Address Details
Address
41 Fort Bayard Road
City
Santa Clara
State
New Mexico
Zip
88026
Phone Number
575-537-8600
Fax Number
575-537-8869
person
Provider Business Mailing Address Details
Address
41 Fort Bayard Road
City
Santa Clara
State
New Mexico
Zip
88026
Phone Number
575-537-8600
Fax Number
575-537-8869
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Long Term Care Hospital
Speciality
-
Taxonomy
282E00000X
License No.
5011 (New Mexico)
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
5011 (New Mexico)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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