| Ben Archer Health Center | |
|
1950 N Date St Truth Or Consequences NM 87901-3701 | |
| (575) 894-8057 | |
| (575) 894-4018 |
| Full Name | Ben Archer Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1950 N Date St, Truth Or Consequences, 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 1950 N Date St Truth Or Consequences NM 87901-3701 Ph: (575) 894-8057 |
| NPI Number | 1710903844 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 09/29/2010 |
| Medicare PECOS PAC ID | 7517878796 |
|---|---|
| Medicare Enrollment ID | O20050225000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710903844 | NPI | - | NPPES |
| 88838307 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 321897 (New Mexico) | Primary |
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