Organization · Type 2 NPI
San Jon School Based Health Center
Federally Qualified Health Center (FQHC) · San Jon, NM
NPI number
1275836231
Active
Practice location
7th And Elm Street
San Jon, NM 88434
Fax (575) 576-2273
Mailing address
PO Box 5
San Jon, NM 88434-0005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1275836231
San Jon School Based Health Center's National Provider Identifier is 1275836231, issued on Dec 14, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Jon, NM. The record was last updated on Dec 14, 2010.