Organization · Type 2 NPI
Bernalillo Spartan Wellness Center
Federally Qualified Health Center (FQHC) · Bernalillo, NM
NPI number
1861607400
Active
Practice location
148 Spartan Aly
Bernalillo, NM 87004-6298
Fax (505) 454-1473
Mailing address
P.o. Box 927
Las Vegas, NM 87701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
About NPI 1861607400
Bernalillo Spartan Wellness Center's National Provider Identifier is 1861607400, issued on May 14, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bernalillo, NM. The record was last updated on Feb 11, 2016.