| Teen Health Center Santa Fe High School | |
|
2100 Yucca St Santa Fe High School Santa Fe NM 87505-5456 | |
| (505) 467-2439 | |
| (505) 467-2989 |
| Full Name | Teen Health Center Santa Fe High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2100 Yucca St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Health Center Santa Fe High School Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Teen Health Center Santa Fe High School 2100 Yucca St Santa Fe High School Santa Fe NM 87505-5456 Ph: (505) 467-2439 |
| NPI Number | 1003984089 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003984089 | NPI | - | NPPES |
| 51672821 | Medicaid | NM |
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