| Beth R. Reich M.d. Llc | |
|
546 Harkle Rd Suite B Santa Fe NM 87505-4784 | |
| (505) 984-8755 | |
| Not Available |
| Full Name | Beth R. Reich M.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 546 Harkle Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Beth Robin Reich (SOLE PROPRIETOR) |
| Authorized Official Contact | 5059848755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth R. Reich M.d. Llc Po Box 5683 Santa Fe NM 87502-5683 Ph: (505) 984-8755 | Beth R. Reich M.d. Llc 546 Harkle Rd Suite B Santa Fe NM 87505-4784 Ph: (505) 984-8755 |
| NPI Number | 1992230841 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Medicare PECOS PAC ID | 7113294091 |
|---|---|
| Medicare Enrollment ID | O20170524002223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992230841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 81-294 (New Mexico) | Primary |
| Provider Name | Beth R Reich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952319907 PECOS PAC ID: 6406042399 Enrollment ID: I20120619000650 |
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