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
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 97-229 (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.