| Northeast Regional Education Cooperative | |
|
1031 11th Street Las Vegas NM 87701 | |
| (505) 426-2226 | |
| (505) 454-1473 |
| Full Name | Northeast Regional Education Cooperative |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1031 11th Street, Las Vegas, New Mexico |
| Authorized Official Name and Position | James Abreu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5054262262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Regional Education Cooperative Po Box 927 Las Vegas NM 87701-0927 Ph: (505) 426-2262 | Northeast Regional Education Cooperative 1031 11th Street Las Vegas NM 87701 Ph: (505) 426-2226 |
| NPI Number | 1245597632 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245597632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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