Ben Archer Health Center | |
626 Taft Street Columbus NM 88029-0690 | |
(575) 531-2165 | |
(575) 531-2172 |
Full Name | Ben Archer Health Center |
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Speciality | Clinic/Center |
Location | 626 Taft Street, Columbus, 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 |
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Ben Archer Health Center Po Box 370 Hatch NM 87937-0370 Ph: (575) 267-3280 | Ben Archer Health Center 626 Taft Street Columbus NM 88029-0690 Ph: (575) 531-2165 |
NPI Number | 1598790222 |
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Provider Enumeration Date | 07/11/2006 |
Last Update Date | 10/05/2010 |
Medicare PECOS PAC ID | 7517878796 |
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Medicare Enrollment ID | O20050526000929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598790222 | NPI | - | NPPES |
T9358 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 6755 (New Mexico) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 321871 (New Mexico) | Primary |