| First Nations Community Healthsource Inc | |
|
625 Truman St Ne Albuquerque NM 87110-6443 | |
| (505) 262-2481 | |
| (505) 262-0781 |
| Full Name | First Nations Community Healthsource Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 625 Truman St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Linda Son-stone (CEO) |
| Authorized Official Contact | 5052622481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Nations Community Healthsource Inc 5608 Zuni Rd Se Albuquerque NM 87108-2926 Ph: (052) 622-4815 | First Nations Community Healthsource Inc 625 Truman St Ne Albuquerque NM 87110-6443 Ph: (505) 262-2481 |
| NPI Number | 1467795336 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 01/04/2023 |
| Medicare PECOS PAC ID | 1850469230 |
|---|---|
| Medicare Enrollment ID | O20180629000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467795336 | NPI | - | NPPES |
| 00046912 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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