| Ben Archer Health Center | |
|
255 Highway 187 Hatch NM 87937-0370 | |
| (575) 267-3280 | |
| (575) 267-1747 |
| Full Name | Ben Archer Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 Highway 187, Hatch, New Mexico |
| Authorized Official Name and Position | Mary Rooker (FISCAL OFFICER) |
| Authorized Official Contact | 5752673280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Archer Health Center Po Box 370 Hatch NM 87937-0370 Ph: (575) 267-3280 | Ben Archer Health Center 255 Highway 187 Hatch NM 87937-0370 Ph: (575) 267-3280 |
| NPI Number | 1154352532 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 7517878796 |
|---|---|
| Medicare Enrollment ID | O20100928000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154352532 | NPI | - | NPPES |
| 47738 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6316 (New Mexico) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 321805 (New Mexico) | Primary |
The Jim Wood Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1163 W. Canal St., Hatch, NM 87937 Phone: 575-267-1300 | |
Ben Archer Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Hwy 187, Administrative Office, Hatch, NM 87937 Phone: 575-267-3280 Fax: 575-267-1747 |