| Mountainair Family Health Center | |
|
105 E Pinon Mountainair NM 87036 | |
| (505) 847-2271 | |
| (505) 847-0255 |
| Full Name | Mountainair Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 E Pinon, Mountainair, New Mexico |
| Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainair Family Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: () - | Mountainair Family Health Center 105 E Pinon Mountainair NM 87036 Ph: (505) 847-2271 |
| NPI Number | 1225117773 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 01/09/2021 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20100830000080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225117773 | NPI | - | NPPES |
| 3209839 | Other | OTHER ID NUMBER | |
| S7556 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6703 (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00007531 (New Mexico) | Secondary |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W. 3rd Street, Mountainair, NM 87015 Phone: 505-847-2333 Fax: 877-651-0289 |