| Mescalero Apache Tribe | |
|
311 War Bonnet Drive Mescalero NM 88340 | |
| (575) 464-4301 | |
| (575) 464-3404 |
| Full Name | Mescalero Apache Tribe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 311 War Bonnet Drive, Mescalero, New Mexico |
| Authorized Official Name and Position | Joellyn Pauline Magoosh (DIRECTOR) |
| Authorized Official Contact | 5754649274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mescalero Apache Tribe Po Box 227 Mescalero NM 88340-0227 Ph: (575) 464-4301 | Mescalero Apache Tribe 311 War Bonnet Drive Mescalero NM 88340 Ph: (575) 464-4301 |
| NPI Number | 1346748282 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346748282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
La Frontera Center Inc. Dba La Frontera New Mexico, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 White Mountain Dr, Mescalero, NM 88340 Phone: 575-464-0016 | |
Mescalero Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 White Mountain Dr, Mescalero, NM 88340 Phone: 505-464-4431 Fax: 505-464-4822 |