Centennial School Base | |
1950 Sonoma Ranch Blvd. Las Cruces NM 88011 | |
(575) 525-4811 | |
(575) 524-4266 |
Full Name | Centennial School Base |
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Speciality | Clinic/Center |
Location | 1950 Sonoma Ranch Blvd., Las Cruces, New Mexico |
Authorized Official Name and Position | Virgil Medina (CEO) |
Authorized Official Contact | 5755261105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Centennial School Base 385 Calle De Alegra Bldg A Las Cruces NM 88005-3423 Ph: (575) 526-1105 | Centennial School Base 1950 Sonoma Ranch Blvd. Las Cruces NM 88011 Ph: (575) 525-4811 |
NPI Number | 1639553928 |
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Provider Enumeration Date | 07/16/2015 |
Last Update Date | 05/13/2021 |
Medicare PECOS PAC ID | 6305745191 |
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Medicare Enrollment ID | O20160728001217 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639553928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southwest Center On Aging Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2467 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-647-8366 Fax: 575-647-8381 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Harry Bass, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-0330 Fax: 575-522-8620 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Rhsnm Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4441 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-521-6400 | |
Smart Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Missouri Ave Ste 12, Las Cruces, NM 88011 Phone: 575-522-6900 Fax: 575-522-8891 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 Fax: 629-216-0568 |