| Centro Savila | |
|
1317 Isleta Blvd Sw Albuquerque NM 87105-4035 | |
| (505) 312-7296 | |
| Not Available |
| Full Name | Centro Savila |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1317 Isleta Blvd Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | William G Wagner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5056041640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Savila 1317 Isleta Blvd Sw Albuquerque NM 87105-4035 Ph: (505) 312-7296 | Centro Savila 1317 Isleta Blvd Sw Albuquerque NM 87105-4035 Ph: (505) 312-7296 |
| NPI Number | 1154678639 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 07/29/2013 |
| Medicare PECOS PAC ID | 1456588391 |
|---|---|
| Medicare Enrollment ID | O20131220000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154678639 | NPI | - | NPPES |
| 39100201 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-3886 (New Mexico) | Primary |
| Provider Name | William G Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730265042 PECOS PAC ID: 4082666896 Enrollment ID: I20050219000012 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Central Ave Sw, Albuquerque, NM 87104 Phone: 505-238-9551 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Meridian Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3539 Thaxton Ave Se, Albuquerque, NM 87106 Phone: 505-903-0927 |