Organization · Type 2 NPI
Thoreau Clinic
Clinic/Center · Thoreau, NM
NPI number
1679516702
Active
Practice location
3 Navarre Street
Thoreau, NM 87323
Fax (505) 862-8909
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
About NPI 1679516702
Thoreau Clinic's National Provider Identifier is 1679516702, issued on Jun 14, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Thoreau, NM. The record was last updated on Oct 18, 2012.