| Dba Jemez Fqhc Center | |
|
110 Sheep Springs Way Jemez Pueblo NM 87024 | |
| (575) 834-7413 | |
| (575) 834-7517 |
| Full Name | Dba Jemez Fqhc Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Sheep Springs Way, Jemez Pueblo, New Mexico |
| Authorized Official Name and Position | Nohemy Rosales (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 5758343187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Jemez Fqhc Center Po Box 279 Jemez Pueblo NM 87024-0279 Ph: (575) 834-7413 | Dba Jemez Fqhc Center 110 Sheep Springs Way Jemez Pueblo NM 87024 Ph: (575) 834-7413 |
| NPI Number | 1225346547 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3971584509 |
|---|---|
| Medicare Enrollment ID | O20100929000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225346547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Mexico) | Primary |
| 261Q00000X | Clinic/center | EXEMPT (New Mexico) | Secondary |
Jemez Valley Community Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8372 Highway 4, Jemez Pueblo, NM 87024 Phone: 505-750-3191 | |
Pueblo Of Jemez Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7413 Fax: 575-834-7517 | |
Jemez Health Center Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Sheepsprings Way, Jemez Pueblo, NM 87024 Phone: 575-834-0130 |