| Tularosa Medical Center | |
|
111 Central Ave Tularosa NM 88352-2063 | |
| (505) 585-1250 | |
| (505) 585-1251 |
| Full Name | Tularosa Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Central Ave, Tularosa, 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 |
|---|---|
| Tularosa Medical Center Po Box 2267 Santa Fe NM 87504-2267 Ph: () - | Tularosa Medical Center 111 Central Ave Tularosa NM 88352-2063 Ph: (505) 585-1250 |
| NPI Number | 1427124601 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20101015000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427124601 | NPI | - | NPPES |
| 3209865 | Other | OTHER ID NUMBER | |
| S7585 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | CL00008239 (New Mexico) | Secondary |