| Pms Catron County Med Center | |
|
One Foster Lane Reserve NM 87830 | |
| (575) 533-6456 | |
| (575) 533-6767 |
| Full Name | Pms Catron County Med Center |
|---|---|
| Speciality | Clinic/Center |
| Location | One Foster Lane, Reserve, New Mexico |
| Authorized Official Name and Position | Doug Smith (CFO) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pms Catron County Med Center Po Box 2267 Santa Fe NM 87504-2267 Ph: () - | Pms Catron County Med Center One Foster Lane Reserve NM 87830 Ph: (575) 533-6456 |
| NPI Number | 1447339361 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 01/09/2021 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20120202000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447339361 | NPI | - | NPPES |
| 51839 | Medicaid | NM | |
| 3209625 | Other | OTHER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6327 (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00007323 (New Mexico) | Secondary |