| Pecos Valley Medical Center-school Based Health Center | |
|
28 Panther Parkway 63 North Highway Pecos NM 87552 | |
| (505) 757-7053 | |
| Not Available |
| Full Name | Pecos Valley Medical Center-school Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Panther Parkway, Pecos, New Mexico |
| Authorized Official Name and Position | Doug Smith (EXECUTIVE VP) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecos Valley Medical Center-school Based Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Pecos Valley Medical Center-school Based Health Center 28 Panther Parkway 63 North Highway Pecos NM 87552 Ph: (505) 757-7053 |
| NPI Number | 1083262422 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20200211000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083262422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pecos Valley Medical Center, Inc Teen School Based Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: North Highway 63, Panther Parkway, Pecos, NM 87552 Phone: 505-757-6482 Fax: 505-757-2700 | |
Pecos Valley Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Hwy 50, Pecos, NM 87552 Phone: 505-757-6482 Fax: 505-757-2700 | |
Pecos Valley Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Highway 50 Bldg A, Pecos, NM 87552 Phone: 505-757-6482 Fax: 505-443-8304 |