Nm Department of Health
NPI 1063641819ActiveOrganization· Substance Abuse Rehabilitation Facility· Fort Bayard, NM
Substance Abuse Rehabilitation Facility in Fort Bayard, New Mexico, registered in NPPES in July 2009, part of Nm Department of Health. The authorized official on file is Alfred Corona Chavez, LADAC, B.S., Clinical Supervisor.
Overview
| NPI | 1063641819 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Nm Department of Health |
| NPI issued | Jul 14, 2009 |
| Last updated in NPPES | Jul 14, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 5610 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|