Rio Grande Alcoholism Treatment Center Incorporated
NPI 1194924928ActiveOrganization· Substance Abuse Rehabilitation Facility· Taos, NM
Substance Abuse Rehabilitation Facility in Taos, New Mexico, registered in NPPES in July 2007. The authorized official on file is Lawrence Medina, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194924928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 12, 2007 |
| Last updated in NPPES | Oct 1, 2026 |
| Certified by provider | Oct 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | — | — |
| Substance Abuse Rehabilitation Facility | 324500000X | 5517 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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