| Dulce Teen Health Center | |
|
125 Hawks Dr Dulce NM 87528-0547 | |
| (575) 759-2924 | |
| (575) 759-1349 |
| Full Name | Dulce Teen Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 125 Hawks Dr, Dulce, New Mexico |
| Authorized Official Name and Position | Ralph Friedly (SUPERINTENDENT OF SCHOOLS) |
| Authorized Official Contact | 5757592904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dulce Teen Health Center Po Box 547 Dulce NM 87528-0547 Ph: (575) 759-2924 | Dulce Teen Health Center 125 Hawks Dr Dulce NM 87528-0547 Ph: (575) 759-2924 |
| NPI Number | 1114161510 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114161510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Jicarilla Health Care Facility Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Rd, Dulce, NM 87528 Phone: 505-759-7286 | |
Dhhs/ihs/aao/jsu/dulce Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Jicarilla Service Unit, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532 | |
Jicarilla Service Unit Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 505-759-3291 Fax: 505-759-3532 |