Organization · Type 2 NPI

Pecos Valley Medical Center, Inc

Student Health Clinic/Center · Pecos, NM

NPI number 1386143352 Active

Practice location

North Highway 63, Panther Parkway
Pecos, NM 87552

Call (505) 757-6482 Map

Fax (505) 757-2700

Mailing address

PO Box 710
Pecos, NM 87552-0710

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	PENDING (NM)

Student Health Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1386143352
Entity type: Organization (Type 2)
Issued: Feb 6, 2018
Last updated: Feb 6, 2018
Status: Active
Subpart: Yes of Pecos Valley Medical Center, Inc

Other names

<unavail>
Pecos Valley Medical Center, Inc Teen School Based Clinic · doing business as

Authorized official

Alberto Lopez
Facility Manager
(505) 757-7120

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386143352

Pecos Valley Medical Center, Inc's National Provider Identifier is 1386143352, issued on Feb 6, 2018. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Pecos, NM. The record was last updated on Feb 6, 2018.