<unavail> in Espanola, NM - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Espanola, New Mexico. The current practice location for is 711 Bond St., Espanola, New Mexico. For appointments, you can reach them via phone at (505) 753-9503. The mailing address for is Po Box 158, 538 N Paseo De Onate, Espanola, New Mexico and phone number is (505) 753-7218.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821373812. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 753-9503.

Contact Information


	711 Bond St. Espanola NM 87532-2729
	(505) 753-9503
	(505) 747-1004

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	711 Bond St., Espanola, New Mexico
Authorized Official Name and Position	Lore Pease (CEO)
Authorized Official Contact	5057537218
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 158 538 N Paseo De Onate Espanola NM 87532-0158 Ph: (505) 753-7218	711 Bond St. Espanola NM 87532-2729 Ph: (505) 753-9503

NPI Details:

NPI Number	1821373812
Provider Enumeration Date	10/21/2011
Last Update Date	11/25/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	9830080688
Medicare Enrollment ID	O20090113000917

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821373812	NPI	-	NPPES
118395554	Medicaid	NM
1780689034	Other	NM	ORGANIZATION NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Espanola, NM

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- Medicare Primary Care in Espanola, NM