| Corona Health Clinic | |
|
471 Main St Corona NM 88318 | |
| (575) 849-1561 | |
| (575) 849-1562 |
| Full Name | Corona Health Clinic |
|---|---|
| Speciality | General Practice |
| Location | 471 Main St, Corona, New Mexico |
| Authorized Official Name and Position | Bo Beames (VP RDS) |
| Authorized Official Contact | 5758358700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Health Clinic Po Box 26666 Albuquerque NM 87125-6666 Ph: (505) 923-5356 | Corona Health Clinic 471 Main St Corona NM 88318 Ph: (575) 849-1561 |
| NPI Number | 1912324930 |
|---|---|
| Provider Enumeration Date | 03/27/2014 |
| Last Update Date | 03/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912324930 | NPI | - | NPPES |
| 07773242 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3156 (New Mexico) | Primary |
Corona Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 471 Main Street, Corona, NM 88318 Phone: 505-849-1561 Fax: 505-354-0056 |