| Fnch Sbhc Grant Location | |
|
1111 Easterday Dr Ne Albuquerque NM 87112-5115 | |
| (505) 262-2481 | |
| (505) 265-7045 |
| Full Name | Fnch Sbhc Grant Location |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1111 Easterday Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Linda Son Stone (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5052626588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fnch Sbhc Grant Location Po Box 82610 Albuquerque NM 87198-2610 Ph: (505) 262-6588 | Fnch Sbhc Grant Location 1111 Easterday Dr Ne Albuquerque NM 87112-5115 Ph: (505) 262-2481 |
| NPI Number | 1396277497 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 03/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396277497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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