MEMORIAL HOSPITAL NPI 1003025883

Psychiatric Residential Treatment Facility in Albuquerque, NM

NPI 1003025883 Organization Psychiatric Residential Treatment Facili...

About MEMORIAL HOSPITAL

Memorial Hospital is a provider established in Albuquerque, New Mexico specializing in psychiatric residential treatment facility. The NPI number of Memorial Hospital is 1003025883 and was assigned on May 2007. The practitioner's primary taxonomy code is 323P00000X with license number 1100 (NM). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Carol Bickelman (Ceo)

NPI

1003025883

Provider NameMEMORIAL HOSPITAL
Provider Location Address806 CENTRAL AVE SE ALBUQUERQUE, NM 87102
Provider Mailing Address806 CENTRAL AVE SE ALBUQUERQUE, NM 87102
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-21-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code323P00000X
ClassificationPsychiatric Residential Treatment Facility
TypeResidential Treatment Facilities
License No.1100
License StateNM
Taxonomy DescriptionA residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Business Address

MEMORIAL HOSPITAL
806 CENTRAL AVE SE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 247-0220
Fax: (505) 839-1296

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Mailing Address

MEMORIAL HOSPITAL
806 CENTRAL AVE SE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 247-0220
Fax: (505) 839-1296



Authorized Official

Authorized Official NameMS. CAROL BICKELMAN
Authorized Official TitleCEO
Authorized Official Phone(505) 352-3132

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.