| Moreno Valley High School | |
|
56 Camino Grande Angel Fire NM 87710-8771 | |
| (575) 377-3100 | |
| (575) 377-3100 |
| Full Name | Moreno Valley High School |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 56 Camino Grande, Angel Fire, New Mexico |
| Authorized Official Name and Position | Jiliann Williams (BUSINESS MANAGER) |
| Authorized Official Contact | 5753773100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moreno Valley High School Po Box 1037 Angel Fire NM 87710-1037 Ph: (575) 377-3100 | Moreno Valley High School 56 Camino Grande Angel Fire NM 87710-8771 Ph: (575) 377-3100 |
| NPI Number | 1679231500 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679231500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Camino Grande, Angel Fire, NM 87710 Phone: 575-377-3100 Fax: 877-651-0289 | |
Angel Fire Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 Aspen, Angel Fire, NM 87710 Phone: 575-377-1805 |