DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LAS CUMBRES COMMUNITY SERVICES

MEDICARE: LAS CUMBRES COMMUNITY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency6652NM
2385HR2055XChild Mental Illness Respite Care6653NM
3251S00000XCommunity/Behavioral Health Agency6652NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053460287
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAS CUMBRES COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 102 N CORONADO AVE
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2700
Country : US
Telephone Number : 857-523-0654
Fax Number : 505-753-6947
Provider Business Practice Location Address
First Line : 404 HUNTER ST
Second Line :
City : ESPANOLA
State : NM
Zip : 87532-2655
Country : US
Telephone Number : 505-753-4123
Fax Number : 505-753-6947
Authorized Official
Title or Position : COO
Name : AMANDA J BISSELL
Credential : MPH
Telephone Number : 857-523-0654
Provider Enumeration Date : 01/09/2007
Last Update Date : 07/20/2022

Similar Medicare Providers

1174651095 — MR. RICHARD BRANNEN LARA LMSW
Practice Location Address:
404 HUNTER ST
ESPANOLA, NM
87532-2655
Practice Phone: 505-753-4123
Practice Fax: 505-753-6947
1881928133 — BECKY TRUJILLO
Practice Location Address:
404 HUNTER ST
ESPANOLA, NM
87532-2655
Practice Phone: 505-753-4123
Practice Fax: 505-753-6947
1518291863 — DELFINIA ROMERO
Practice Location Address:
404 HUNTER ST
ESPANOLA, NM
87532-2655
Practice Phone: 505-753-4123
Practice Fax: 505-753-6947
1265766513 — LYNETTE GUILLEN
Practice Location Address:
404 HUNTER ST
ESPANOLA, NM
87532-2655
Practice Phone: 505-753-4123
Practice Fax: 505-753-6947
1952635211 — IRMA TORRES-CATANACH
Practice Location Address:
404 HUNTER ST
ESPANOLA, NM
87532-2655
Practice Phone: 505-753-4123
Practice Fax: 505-753-6947
1417281767 — ANITA TRUJILLO
Practice Location Address:
404 HUNTER ST
ESPANOLA, NM
87532-2655
Practice Phone: 505-753-4123
Practice Fax: 505-753-6947

Directions to “LAS CUMBRES COMMUNITY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.