| Laguna-acoma Teen Health Center | |
|
282 Casa Blanca Rd Casa Blanca NM 87007 | |
| (505) 982-5565 | |
| Not Available |
| Full Name | Laguna-acoma Teen Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 282 Casa Blanca Rd, Casa Blanca, 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 |
|---|---|
| Laguna-acoma Teen Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Laguna-acoma Teen Health Center 282 Casa Blanca Rd Casa Blanca NM 87007 Ph: (505) 982-5565 |
| NPI Number | 1811473978 |
|---|---|
| Provider Enumeration Date | 07/12/2018 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811473978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Laguna Healthcare Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 Casa Blanca Rd, Casa Blanca, NM 87007 Phone: 505-552-0163 Fax: 505-552-0344 |