Organization · Type 2 NPI

New Mexico Mountain Healthcare

Rural Health Clinic/Center · San Ysidro, NM

NPI number 1508021627 Active

Practice location

348 St. Rd. 4
San Ysidro, NM 87053

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300X97-229 (NM)

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

About NPI 1508021627

New Mexico Mountain Healthcare's National Provider Identifier is 1508021627, issued on Jul 29, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in San Ysidro, NM. The record was last updated on Jul 30, 2008.