FT BAYARY MEDICAL CENTTER, YUCCA LODGE
NPI 1063641819
Substance Abuse Rehabilitation Facility in Fort Bayard, NM

Q: What is Nm Department Of Health's NPI number?

The NPI number for Nm Department Of Health is 1063641819. It was assigned to this organization in the NPPES registry on July 14, 2009. The provider is doing business as Ft Bayary Medical Centter, Yucca Lodge.

Q: What is Nm Department Of Health's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since July 14, 2009

100 CALLE DE CENTRAL, FORT BAYARD, NM 88036(575) 537-8831(575) 537-8886 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ft Bayary Medical Centter, Yucca Lodge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FT BAYARY MEDICAL CENTTER, YUCCA LODGE (NPI 1063641819) is a healthcare organization registered as a substance abuse rehabilitation facility in Fort Bayard, New Mexico and active in the NPI registry since July 2009. The organization lists Alfred Corona Chavez, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1063641819

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameNM DEPARTMENT OF HEALTH

Location Address100 CALLE DE CENTRALFort Bayard, NM 88036

Mailing AddressPo Box 36216Fort Bayard, NM 88036-6216 · (575) 537-8831 · Fax (575) 537-8886

Phone(575) 537-8831

Fax(575) 537-8886

Organization SubpartYes

Authorized OfficialAlfred Corona ChavezClinical Supervisor · (575) 537-8831

Enumeration DateJuly 14, 2009

✔ NPI 1063641819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in NM · 5610

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

100 CALLE DE CENTRAL, Fort Bayard, NM 88036

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Other Names 1

Doing Business AsFt Bayary Medical Centter, Yucca Lodge

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nm Department Of Health's NPI number?

The NPI number for Nm Department Of Health is 1063641819. It was assigned to this organization in the NPPES registry on July 14, 2009. The provider is doing business as Ft Bayary Medical Centter, Yucca Lodge.

Where is Nm Department Of Health located?

Nm Department Of Health is located at 100 Calle De Central, Fort Bayard, NM 88036. The listed phone number is (575) 537-8831.

What is Nm Department Of Health's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Nm Department Of Health was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.