| Southwest Care Center Family Medicine | |
|
1691 Galisteo St Ste D Santa Fe NM 87505-4781 | |
| (505) 954-1921 | |
| (505) 983-6520 |
| Full Name | Southwest Care Center Family Medicine |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1691 Galisteo St Ste D, Santa Fe, New Mexico |
| Authorized Official Name and Position | Michael Adams (CEO) |
| Authorized Official Contact | 5059898200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Care Center Family Medicine Po Box 6880 Santa Fe NM 87502-6880 Ph: (505) 395-2288 | Southwest Care Center Family Medicine 1691 Galisteo St Ste D Santa Fe NM 87505-4781 Ph: (505) 954-1921 |
| NPI Number | 1295109072 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295109072 | NPI | - | NPPES |
| 1871602698 | Other | NM | 1871602698 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 1300117376 (New Mexico) | Secondary |
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