Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coyote Canyon Rehabilitation Center, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brimhall, NM · enumerated 2011 · authorized official Macdonald Avery, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255622965

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Registry record

Entity type Organization (Type 2)

Legal business name Coyote Canyon Rehabilitation Center, Inc.

Practice address 10 Miles East Navajo Route #9, Brimhall, NM, 87310

Phone (505) 735-2261

Fax (505) 735-2013

Enumeration date Apr 28, 2011

Last updated in NPPES Apr 28, 2011

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Macdonald Avery

Title Executive Director

Phone (505) 735-2002

Other identifiers

Identifier	Type	State	Issuer
D2167	Medicaid	NM	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-04-28. Verify at npiregistry.cms.hhs.gov.

Where is Coyote Canyon Rehabilitation Center, Inc. located?

The practice location on file with NPPES is in Brimhall, NM.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-04-28.