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800 County Line Chaparral High School-based Health Center Chaparral NM 88081 | |
(575) 882-6300 | |
(575) 824-5081 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 800 County Line, Chaparral, New Mexico |
Authorized Official Name and Position | Cynthia Solum (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 5755214794 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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301 S Church St Ste H Las Cruces NM 88001-3547 Ph: (575) 521-4794 | 800 County Line Chaparral High School-based Health Center Chaparral NM 88081 Ph: (575) 882-6300 |
NPI Number | 1407094980 |
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Provider Enumeration Date | 01/22/2009 |
Last Update Date | 01/10/2013 |
Identifier | Type | State | Issuer |
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1407094980 | NPI | - | NPPES |
1D05 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
County Line Medical Service Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 S County Line Dr Spc A, Chaparral, NM 88081 Phone: 575-824-5007 | |