Provider Demographics
NPI:1821117953
Name:HOGARES INC
Entity Type:Organization
Organization Name:HOGARES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-345-8471
Mailing Address - Street 1:PO BOX 6485
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87197-6485
Mailing Address - Country:US
Mailing Address - Phone:505-345-8471
Mailing Address - Fax:505-342-5414
Practice Address - Street 1:1218 GRIEGOS RD NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-3752
Practice Address - Country:US
Practice Address - Phone:505-345-8471
Practice Address - Fax:505-342-5414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMVNM30495MDOtherHEALTH PLAN PROVIDER #
NMVNM30330NOOtherHEALTH PLAN PROVIDER #
NMNM600253OtherHEALTH PLAN PIN
NMVNM30308NOOtherHEALTH PLAN PROVIDER #
NMVNM30305NOOtherHEALTH PLAN PROVIDER #
NMVNM30306NOOtherHEALTH PLAN PROVIDER #
NMVNM3039NOOtherHEALTH PLAN PROVIDER #
NMVNM30495NOOtherHEALTH PLAN PROVIDER #
NMVNM30495NIOtherHEALTH PLAN PROVIDER #