Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED
NPI 1194924928
Substance Abuse Rehabilitation Facility in Taos, NM

Active since July 12, 2007
105 PASEO DEL CANON W STE A, TAOS, NM 87571(575) 737-5533(575) 737-5534 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Mar 9, 2025, Mar 17, 2021 and 2 more (5 updates tracked since 2018).

About Rio Grande Alcoholism Treatment Center Incorporated NPPES

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

RIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED (NPI 1194924928), doing business as Rio Grande Alcoholism Treatment Program, Inc., is a healthcare organization registered as a substance abuse rehabilitation facility in Taos, New Mexico and active in the NPI registry since July 2007. The organization maintains 2 additional practice locations and lists Lawrence Medina, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194924928
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED
Location Address105 PASEO DEL CANON W STE ATaos, NM 87571-6943
Mailing Address105 Paseo Del Canon W Ste ATaos, NM 87571-6943 · (575) 737-5533 · Fax (575) 737-5534
Fax(575) 737-5534
Organization SubpartNo
Authorized OfficialLawrence MedinaExecutive Director · (575) 213-8968
Enumeration DateJuly 12, 2007
Last NPPES UpdateOctober 1, 20265 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1194924928 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 · 5517
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.
105 PASEO DEL CANON W STE A, Taos, NM 87571

Other Names 1

Doing Business AsRio Grande Alcoholism Treatment Program, Inc.

Secondary Practice Locations 2

Location 1220 Albright StTaos, NM 87571-6312 · Phone (575) 213-6002
Location 22301 7th St Ste ALas Vegas, NM 87701-4966 · Phone (505) 454-9611

Other Identifiers 1

Medicaid83774556NM

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rio Grande Alcoholism Treatment Center Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Rio Grande Alcoholism Treatment Center Incorporated, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Clinical Social Worker
NPI 1386849610
STATE ROAD 110 HOUSE 35 B
El Rito, NM 87530
(505) 927-1564
✔ PECOS✔ Accepts Medicare33 mi
Clinical Social Worker
NPI 1295177558
1102A PASEO DE ONATE
Espanola, NM 87532
(505) 852-1377
✔ PECOS38 mi
Mental Health Counselor
NPI 1578012506
2301 7TH ST
Las Vegas, NM 87701
(505) 454-9611
✔ PECOS✔ Accepts Medicare57 mi
Psychiatry
NPI 1386832525
525 E 15TH ST
Panama City, FL 32405
(850) 522-4480
✔ PECOS✔ Accepts Medicare1,228 mi
Mental Health Counselor
NPI 1487904884
4020 FOLKER ST
Anchorage, AK 99508
(907) 563-1000
✔ PECOS✔ Accepts Medicare2,567 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rio Grande Alcoholism Treatment Center Incorporated's NPI number?

The NPI number for Rio Grande Alcoholism Treatment Center Incorporated is 1194924928. It was assigned to this organization in the NPPES registry on July 12, 2007. The provider is doing business as Rio Grande Alcoholism Treatment Program, Inc..

Where is Rio Grande Alcoholism Treatment Center Incorporated located?

Rio Grande Alcoholism Treatment Center Incorporated is located at 105 Paseo Del Canon W Ste A, Taos, NM 87571. The listed phone number is (575) 737-5533.

What is Rio Grande Alcoholism Treatment Center Incorporated's specialty?

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

Is Rio Grande Alcoholism Treatment Center Incorporated enrolled in Medicare?

Yes. Rio Grande Alcoholism Treatment Center Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rio Grande Alcoholism Treatment Center Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Rio Grande Alcoholism Treatment Center Incorporated, in Clinical Social Worker, Mental Health Counselor and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rio Grande Alcoholism Treatment Center Incorporated was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.