| Escalante School Base Health Center | |
|
U S Hwy 84, County Road 0324, #14 Tierra Amarilla NM 87575-0250 | |
| (575) 588-7252 | |
| (575) 588-9132 |
| Full Name | Escalante School Base Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | U S Hwy 84, County Road 0324, #14, Tierra Amarilla, New Mexico |
| Authorized Official Name and Position | Darren D De Yapp (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5755887252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Escalante School Base Health Center Po Box 250 Us Hwy 84, County Rd. 0324, #14 Tierra Amarilla NM 87575-0250 Ph: (575) 588-7252 | Escalante School Base Health Center U S Hwy 84, County Road 0324, #14 Tierra Amarilla NM 87575-0250 Ph: (575) 588-7252 |
| NPI Number | 1861630410 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861630410 | NPI | - | NPPES |
| 1336177575 | Other | NM | SANCHEZ, JOYCE M., LISW, LADAC |
| 1114908761 | Other | NM | KNACKSTEDT, SHIRLEY, CFNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6253 (New Mexico) | Primary |
La Clinica Del Pueblo De Rio Arriba Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Us Hwy 84, County Road 0324, #14, Tierra Amarilla, NM 87575 Phone: 575-588-7252 Fax: 575-588-9132 |