| Crownpoint Mobile Clinic | |
|
Hwy 371 Navajo Junction Route 9 Crownpoint NM 87313-0358 | |
| (505) 786-5291 | |
| Not Available |
| Full Name | Crownpoint Mobile Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | Hwy 371 Navajo Junction Route 9, Crownpoint, New Mexico |
| Authorized Official Name and Position | Mary Ann Oneal (ADMINTRATIVE OFFICER) |
| Authorized Official Contact | 5057865291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crownpoint Mobile Clinic Po Box 358 Crownpoint NM 87313-0358 Ph: (505) 786-5291 | Crownpoint Mobile Clinic Hwy 371 Navajo Junction Route 9 Crownpoint NM 87313-0358 Ph: (505) 786-5291 |
| NPI Number | 1689833170 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689833170 | NPI | - | NPPES |
| H8906 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Mexico) | Primary |