| Sunrise Clinics - Wagon Mound Sbhc | |
|
300 Parker Ave Wagon Mound NM 87752 | |
| (575) 472-4311 | |
| (877) 651-0289 |
| Full Name | Sunrise Clinics - Wagon Mound Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 300 Parker Ave, Wagon Mound, New Mexico |
| Authorized Official Name and Position | Jessica Sanchez (DIRECTOR OF HR) |
| Authorized Official Contact | 5754724311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Clinics - Wagon Mound Sbhc 117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 Ph: (575) 472-4211 | Sunrise Clinics - Wagon Mound Sbhc 300 Parker Ave Wagon Mound NM 87752 Ph: (575) 472-4311 |
| NPI Number | 1407639669 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407639669 | NPI | - | NPPES |
| 93778562 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
El Centro Family Health Wagon Mound Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 604 Catron Avenue, Wagon Mound, NM 87752 Phone: 575-666-2288 Fax: 575-666-2186 |