Organization · Type 2 NPI

The Community Foundation of Southern New Mexico

Student Health Clinic/Center · Chaparral, NM

NPI number 1407094980 Active

Practice location

800 County Line, Chaparral High School-Based Health Center
Chaparral, NM 88081

Call (575) 882-6300 Map

Fax (575) 824-5081

Mailing address

301 S Church St, Ste H
Las Cruces, NM 88001-3547

Specialties and licenses

Taxonomy	Code	License
Student Health Clinic/Center Primary	261QS1000X	None listed

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

NPI record

NPI: 1407094980
Entity type: Organization (Type 2)
Issued: Jan 22, 2009
Last updated: Jan 10, 2013
Status: Active
Subpart: Yes of The Community Foundation of Southern New Mexico

Other names

<unavail>
Chaparral High School-Based Health Center (adolescent Services) · other name

Authorized official

Cynthia Solum
Administrative Assistant
(575) 521-4794

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 1407094980

The Community Foundation of Southern New Mexico's National Provider Identifier is 1407094980, issued on Jan 22, 2009. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Chaparral, NM. The record was last updated on Jan 10, 2013.