Rio Grande School Base is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mesilla, New Mexico. The current practice location for Rio Grande School Base is 2355 Avendia De Mesilla, Mesilla, New Mexico. For appointments, you can reach them via phone at
(575) 526-1105. The mailing address for Rio Grande School Base is 385 Calle De Alegra, Bldg. A, Las Cruces, New Mexico and phone number is (575) 526-1105.
Rio Grande School Base is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1528443967. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(575) 526-1105.
Primary Care Clinic Profile
| Full Name | Rio Grande School Base |
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| Speciality | Clinic/Center |
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| Location | 2355 Avendia De Mesilla, Mesilla, New Mexico |
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| Authorized Official Name and Position | Virgil Medina (CEO) |
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| Authorized Official Contact | 5755261105 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rio Grande School Base
385 Calle De Alegra
Bldg. A
Las Cruces
NM 88005-3423
Ph: (575) 526-1105 | Rio Grande School Base
2355 Avendia De Mesilla
Mesilla
NM 88046
Ph: (575) 526-1105 |
NPI Details:
| NPI Number | 1528443967 |
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| Provider Enumeration Date | 07/28/2015 |
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| Last Update Date | 05/13/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6305745191 |
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| Medicare Enrollment ID | O20160728000199 |
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Medical Identifiers
Medical identifiers for Rio Grande School Base such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528443967 | NPI | - | NPPES |
| 321945 | Other | NM | MEDICARE |
| 52334520 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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