| First Nations Community Health Source, Inc. | |
|
5608 Zuni Rd Se Albuquerque NM 87108-2926 | |
| (505) 262-6523 | |
| (505) 265-7045 |
| Full Name | First Nations Community Health Source, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5608 Zuni Rd Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Linda Son-stone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5052626546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Nations Community Health Source, Inc. 5608 Zuni Rd Se Albuquerque NM 87108-2926 Ph: (505) 262-6523 | First Nations Community Health Source, Inc. 5608 Zuni Rd Se Albuquerque NM 87108-2926 Ph: (505) 262-6523 |
| NPI Number | 1932199171 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 12/30/2022 |
| Medicare PECOS PAC ID | 1850469230 |
|---|---|
| Medicare Enrollment ID | O20081013000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932199171 | NPI | - | NPPES |
| 46912 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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