| Desert View, Inc. | |
|
6100 E Main St Farmington NM 87402-3034 | |
| (505) 326-7878 | |
| (505) 326-7879 |
| Full Name | Desert View, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6100 E Main St, Farmington, New Mexico |
| Authorized Official Name and Position | Rick Quevedo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5053267878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert View, Inc. 6100 E Main St Farmington NM 87402-3034 Ph: (505) 326-7878 | Desert View, Inc. 6100 E Main St Farmington NM 87402-3034 Ph: (505) 326-7878 |
| NPI Number | 1700945367 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 2062828049 |
|---|---|
| Medicare Enrollment ID | O20210317001855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700945367 | NPI | - | NPPES |
| 0078336 | Medicaid | NM |
| Provider Name | Kaylene Cribbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245527837 PECOS PAC ID: 5092987537 Enrollment ID: I20151228002046 |
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