| Cibola Family Health Center | |
|
1423 E Roosevelt Ave Grants NM 87020-2245 | |
| (505) 287-6500 | |
| (505) 287-5393 |
| Full Name | Cibola Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1423 E Roosevelt Ave, Grants, New Mexico |
| Authorized Official Name and Position | Donna Rojas (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5052875202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cibola Family Health Center 1423 E Roosevelt Ave Grants NM 87020-2245 Ph: (505) 287-6500 | Cibola Family Health Center 1423 E Roosevelt Ave Grants NM 87020-2245 Ph: (505) 287-6500 |
| NPI Number | 1457675266 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 7113935891 |
|---|---|
| Medicare Enrollment ID | O20190429002509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457675266 | NPI | - | NPPES |
| 323409 | Other | NM | MEDICARE PTAN |
| 63306514 | Medicaid | NM |
Arnold W. Valdivia, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 Bonita St, Grants, NM 87020 Phone: 505-287-4474 Fax: 505-287-8775 | |
Grants Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2958 Fax: 505-287-2403 | |
Pms/wnmmg Grants Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2950 |