| Pms-lake Arthur School-based Health Center | |
|
700 Broadway Lake Arthur NM 88253 | |
| (575) 746-9848 | |
| (575) 746-9840 |
| Full Name | Pms-lake Arthur School-based Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 700 Broadway, Lake Arthur, New Mexico |
| Authorized Official Name and Position | Roberta Lee (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pms-lake Arthur School-based Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Pms-lake Arthur School-based Health Center 700 Broadway Lake Arthur NM 88253 Ph: (575) 746-9848 |
| NPI Number | 1972887990 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972887990 | NPI | - | NPPES |
| 00000 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |