| Las Clinicas Del Norte Incorporated | |
|
1797b St. Rd 502 Santa Fe NM 87506 | |
| (505) 455-4026 | |
| (505) 455-4038 |
| Full Name | Las Clinicas Del Norte Incorporated |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1797b St. Rd 502, Santa Fe, New Mexico |
| Authorized Official Name and Position | Andrea Sandoval (CEO) |
| Authorized Official Contact | 5755814728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Clinicas Del Norte Incorporated Po Box 237 El Rito NM 87530-0237 Ph: (505) 455-4026 | Las Clinicas Del Norte Incorporated 1797b St. Rd 502 Santa Fe NM 87506 Ph: (505) 455-4026 |
| NPI Number | 1417440777 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417440777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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