| Loving Health Clinic | |
|
602 S 4th St Loving NM 88256-0491 | |
| (575) 745-3573 | |
| (575) 745-3550 |
| Full Name | Loving Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 602 S 4th St, Loving, New Mexico |
| Authorized Official Name and Position | Roberta Lee (CFO) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Health Clinic Po Box 2267 Santa Fe NM 87504-2267 Ph: () - | Loving Health Clinic 602 S 4th St Loving NM 88256-0491 Ph: (575) 745-3573 |
| NPI Number | 1891874343 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 12/07/2011 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20111101000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891874343 | NPI | - | NPPES |
| 3209651 | Other | OTHER ID NUMBER | |
| 50361 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6317 (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00007330 (New Mexico) | Secondary |