| Mesa Vista School Based Health Clinic | |
|
Hwy 285 Junction 111 Ojo Caliente NM 87549 | |
| (505) 583-2401 | |
| (575) 581-0030 |
| Full Name | Mesa Vista School Based Health Clinic |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | Hwy 285 Junction 111, Ojo Caliente, New Mexico |
| Authorized Official Name and Position | Andy R Lopez (CEO) |
| Authorized Official Contact | 5755814728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Vista School Based Health Clinic Po Box 237 571 St Rd Bldg 28 El Rito NM 87530-0237 Ph: (575) 581-4728 | Mesa Vista School Based Health Clinic Hwy 285 Junction 111 Ojo Caliente NM 87549 Ph: (505) 583-2401 |
| NPI Number | 1720256134 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720256134 | NPI | - | NPPES |
| 69222070 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Ojo Caliente Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: #35282 Hwy 285, Ojo Caliente, NM 87549 Phone: 505-583-2191 Fax: 505-583-2520 |