Provider Demographics
NPI:1558599878
Name:NEW MEXICO HIGHLANDS UNIVERSITY
Entity Type:Organization
Organization Name:NEW MEXICO HIGHLANDS UNIVERSITY
Other - Org Name:VISTAS SIN LIMITES @ NMHU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALARID
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:505-454-3509
Mailing Address - Street 1:1031 11TH STREET
Mailing Address - Street 2:ROOM 123 AND SUITE133
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701
Mailing Address - Country:US
Mailing Address - Phone:505-454-3509
Mailing Address - Fax:505-454-3524
Practice Address - Street 1:1031 11TH STREET
Practice Address - Street 2:ROOM 123 AND SUITE133
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-9000
Practice Address - Country:US
Practice Address - Phone:505-454-3509
Practice Address - Fax:505-454-3524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW MEXICO HIGHLANDS UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty