| Rio Rancho Mid-high | |
|
1600 40th St Ne Rio Rancho NM 87144-7708 | |
| (505) 891-5335 | |
| Not Available |
| Full Name | Rio Rancho Mid-high |
|---|---|
| Speciality | Social Worker - School |
| Location | 1600 40th St Ne, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Lisa Dobson (PRINCIPAL) |
| Authorized Official Contact | 5058231569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Rancho Mid-high 1600 40th St Ne Rio Rancho NM 87144-7708 Ph: () - | Rio Rancho Mid-high 1600 40th St Ne Rio Rancho NM 87144-7708 Ph: (505) 891-5335 |
| NPI Number | 1962681056 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962681056 | NPI | - | NPPES |
| 51523345 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041S0200X | Social Worker - School | I-3395 (New Mexico) | Primary |
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