Escalante School Base Health Center | |
U S Hwy 84, County Road 0324, #14 Tierra Amarilla NM 87575-0250 | |
(575) 588-7252 | |
(575) 588-9132 |
Full Name | Escalante School Base Health Center |
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Speciality | Clinic/center |
Location | U S Hwy 84, County Road 0324, #14, Tierra Amarilla, New Mexico |
Authorized Official Name and Position | Darren D De Yapp (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5755887252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Escalante School Base Health Center Po Box 250 Us Hwy 84, County Rd. 0324, #14 Tierra Amarilla NM 87575-0250 Ph: (575) 588-7252 | Escalante School Base Health Center U S Hwy 84, County Road 0324, #14 Tierra Amarilla NM 87575-0250 Ph: (575) 588-7252 |
NPI Number | 1861630410 |
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Provider Enumeration Date | 02/04/2009 |
Last Update Date | 02/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861630410 | NPI | - | NPPES |
1336177575 | Other | NM | SANCHEZ, JOYCE M., LISW, LADAC |
1114908761 | Other | NM | KNACKSTEDT, SHIRLEY, CFNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 6253 (New Mexico) | Primary |