Ben Archer Health Center | |
12080 Lb Lindbeck Rd Radium Springs NM 88054-0419 | |
(575) 267-3280 | |
(575) 267-1747 |
Full Name | Ben Archer Health Center |
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Speciality | Clinic/Center |
Location | 12080 Lb Lindbeck Rd, Radium Springs, 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 12080 Lb Lindbeck Rd Radium Springs NM 88054-0419 Ph: (575) 267-3280 |
NPI Number | 1770734865 |
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Provider Enumeration Date | 10/07/2008 |
Last Update Date | 10/05/2010 |
Medicare PECOS PAC ID | 7517878796 |
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Medicare Enrollment ID | O20081023000585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770734865 | NPI | - | NPPES |
61359335 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |