| Fchc Substance Abuse Services | |
|
744 W Animas St Farmington NM 87401-5617 | |
| (505) 327-4796 | |
| (505) 325-9113 |
| Full Name | Fchc Substance Abuse Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 744 W Animas St, Farmington, New Mexico |
| Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5059542303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fchc Substance Abuse Services Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Fchc Substance Abuse Services 744 W Animas St Farmington NM 87401-5617 Ph: (505) 327-4796 |
| NPI Number | 1093117251 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 01/09/2021 |
| Certification Date | 01/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093117251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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