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85 Nm State Highway 484 Ribera NM 87560 | |
(575) 472-4311 | |
(877) 651-0289 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 85 Nm State Highway 484, Ribera, 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 |
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117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 Ph: (575) 472-4311 | 85 Nm State Highway 484 Ribera NM 87560 Ph: (575) 472-4311 |
NPI Number | 1134902372 |
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Provider Enumeration Date | 08/14/2023 |
Last Update Date | 08/16/2023 |
Identifier | Type | State | Issuer |
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1134902372 | NPI | - | NPPES |
93778562 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |