Torreon Navajo Clinic | |
2500 State Hwy 197 Torreon NM 87013 | |
(505) 731-2284 | |
(505) 731-2381 |
Full Name | Torreon Navajo Clinic |
---|---|
Speciality | Clinic/Center |
Location | 2500 State Hwy 197, Torreon, New Mexico |
Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 5059825565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Torreon Navajo Clinic Po Box 2267 Santa Fe NM 87504-2267 Ph: () - | Torreon Navajo Clinic 2500 State Hwy 197 Torreon NM 87013 Ph: (505) 731-2284 |
NPI Number | 1609944800 |
---|---|
Provider Enumeration Date | 12/04/2006 |
Last Update Date | 01/09/2021 |
Medicare PECOS PAC ID | 2062324684 |
---|---|
Medicare Enrollment ID | O20101014000771 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609944800 | NPI | - | NPPES |
48439 | Medicaid | NM | |
3209562 | Other | OTHER ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | N/A (New Mexico) | Primary |
332900000X | Non-pharmacy Dispensing Site | CL00007195 (New Mexico) | Secondary |