| Ben Archer Health Center | |
|
2150 Highway 54 S Alamogordo NM 88310-7330 | |
| (575) 443-8133 | |
| (575) 443-8055 |
| Full Name | Ben Archer Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Highway 54 S, Alamogordo, New Mexico |
| Authorized Official Name and Position | Mary Alice Garay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5752673280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Archer Health Center Po Box 370 Hatch NM 87937-0370 Ph: (575) 267-3280 | Ben Archer Health Center 2150 Highway 54 S Alamogordo NM 88310-7330 Ph: (575) 443-8133 |
| NPI Number | 1902831977 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 7517878796 |
|---|---|
| Medicare Enrollment ID | O20050526001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902831977 | NPI | - | NPPES |
| B5924 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3015 (New Mexico) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 321880 (New Mexico) | Primary |
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