Healthy Tomorrows Van | |
501 Airport Rd Santa Fe NM 87507-2876 | |
(505) 467-1575 | |
(505) 467-1577 |
Full Name | Healthy Tomorrows Van |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 501 Airport Rd, Santa Fe, New Mexico |
Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 5059825565 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healthy Tomorrows Van Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Healthy Tomorrows Van 501 Airport Rd Santa Fe NM 87507-2876 Ph: (505) 467-1575 |
NPI Number | 1508945627 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 01/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508945627 | NPI | - | NPPES |
70298 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6536 (New Mexico) | Primary |
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