| Four Corners Psychiatric Services | |
|
3751 N Butler Ave Ste 115 Farmington NM 87401-6435 | |
| (505) 516-0252 | |
| (505) 516-0057 |
| Full Name | Four Corners Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3751 N Butler Ave, Farmington, New Mexico |
| Authorized Official Name and Position | James R Digioia (PRESIDENT) |
| Authorized Official Contact | 5055160252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Psychiatric Services 3751 N Butler Ave Ste 115 Farmington NM 87401-6435 Ph: (505) 516-0252 | Four Corners Psychiatric Services 3751 N Butler Ave Ste 115 Farmington NM 87401-6435 Ph: (505) 516-0252 |
| NPI Number | 1073750725 |
|---|---|
| Provider Enumeration Date | 01/17/2009 |
| Last Update Date | 01/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073750725 | NPI | - | NPPES |
| 09057315 | Medicaid | NM | |
| 1154312742 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A121503 (New Mexico) | Primary |
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