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COYOTE CANYON REHABILITATION CENTER, INC.
NPI 1255622965
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brimhall, NM

Active since April 28, 2011
10 MILES EAST NAVAJO ROUTE #9, BRIMHALL, NM 87310(505) 735-2261(505) 735-2013 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coyote Canyon Rehabilitation Center, Inc. NPPES

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

COYOTE CANYON REHABILITATION CENTER, INC. (NPI 1255622965) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Brimhall, New Mexico and active in the NPI registry since April 2011. The organization lists Macdonald Avery, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255622965
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOYOTE CANYON REHABILITATION CENTER, INC.
Location Address10 MILES EAST NAVAJO ROUTE #9Brimhall, NM 87310
Mailing AddressPo Box 158Brimhall, NM 87310-0158 · (505) 735-2261 · Fax (505) 735-2013
Phone(505) 735-2261
Fax(505) 735-2013
Organization SubpartNo
Authorized OfficialMacdonald AveryExecutive Director · (505) 735-2002
Enumeration DateApril 28, 2011
✔ NPI 1255622965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
10 MILES EAST NAVAJO ROUTE #9, Brimhall, NM 87310
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Other Identifiers 1

MedicaidD2167NM

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 Coyote Canyon Rehabilitation Center, Inc.'s NPI number?

The NPI number for Coyote Canyon Rehabilitation Center, Inc. is 1255622965. It was assigned to this organization in the NPPES registry on April 28, 2011.

Where is Coyote Canyon Rehabilitation Center, Inc. located?

Coyote Canyon Rehabilitation Center, Inc. is located at 10 Miles East Navajo Route #9, Brimhall, NM 87310. The listed phone number is (505) 735-2261.

What is Coyote Canyon Rehabilitation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Coyote Canyon Rehabilitation Center, Inc. was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.