| Teen Health Centers Capital High | |
|
4851 Paseo Del Sol Santa Fe NM 87507-3027 | |
| (505) 467-1081 | |
| (505) 954-1180 |
| Full Name | Teen Health Centers Capital High |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4851 Paseo Del Sol, 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 Centers Capital High Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Teen Health Centers Capital High 4851 Paseo Del Sol Santa Fe NM 87507-3027 Ph: (505) 467-1081 |
| NPI Number | 1114094547 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114094547 | NPI | - | NPPES |
| 70935521 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | CL00007507 (New Mexico) | Primary |
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