| Region Ix Education Cooperative | |
|
237 Service Rd Ruidoso NM 88345-6063 | |
| (575) 257-2368 | |
| Not Available |
| Full Name | Region Ix Education Cooperative |
|---|---|
| Speciality | Psychologist - School |
| Location | 237 Service Rd, Ruidoso, New Mexico |
| Authorized Official Name and Position | Evelyn Sanchez (MEDICAID TECH) |
| Authorized Official Contact | 5759372497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Region Ix Education Cooperative 237 Service Rd Ruidoso NM 88345-6063 Ph: (575) 257-2368 | Region Ix Education Cooperative 237 Service Rd Ruidoso NM 88345-6063 Ph: (575) 257-2368 |
| NPI Number | 1053710004 |
|---|---|
| Provider Enumeration Date | 08/15/2014 |
| Last Update Date | 08/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053710004 | NPI | - | NPPES |
| E7676 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 299611 (New Mexico) | Primary |
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