| Ben Archer Health Center | |
|
12080 Lb Lindbeck Rd Radium Springs NM 88054-0419 | |
| (575) 267-3280 | |
| (575) 267-1747 |
| Full Name | Ben Archer Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 12080 Lb Lindbeck Rd, Radium Springs, New Mexico |
| Authorized Official Name and Position | Mary Alice Garay (EXECUTIVE DIRECTOR) |
| 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 12080 Lb Lindbeck Rd Radium Springs NM 88054-0419 Ph: (575) 267-3280 |
| NPI Number | 1770734865 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 7517878796 |
|---|---|
| Medicare Enrollment ID | O20081023000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770734865 | NPI | - | NPPES |
| 61359335 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |