| Espanola Advanced Center For Healing | |
|
509 W Pueblo Dr Espanola NM 87532-2508 | |
| (505) 747-3368 | |
| (505) 747-3368 |
| Full Name | Espanola Advanced Center For Healing |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 509 W Pueblo Dr, Espanola, New Mexico |
| Authorized Official Name and Position | Catherine Veilleux (OWNER) |
| Authorized Official Contact | 5057473368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Espanola Advanced Center For Healing 2886 Plaza Blanca Santa Fe NM 87507-6515 Ph: (505) 747-3368 | Espanola Advanced Center For Healing 509 W Pueblo Dr Espanola NM 87532-2508 Ph: (505) 747-3368 |
| NPI Number | 1386702983 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386702983 | NPI | - | NPPES |
| 1942248844 | Other | NM | NPI ENUMERATOR |
| 00068425 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R25534 (New Mexico) | Primary |
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