| Mora Valley Community Health Services, Inc. | |
|
10 Ranger Dr Mora NM 87732 | |
| (575) 387-3117 | |
| Not Available |
| Full Name | Mora Valley Community Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Ranger Dr, Mora, New Mexico |
| Authorized Official Name and Position | Julian F Barela (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5753875069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mora Valley Community Health Services, Inc. Po Box 209 Mora NM 87732-0209 Ph: (575) 387-5069 | Mora Valley Community Health Services, Inc. 10 Ranger Dr Mora NM 87732 Ph: (575) 387-3117 |
| NPI Number | 1396104964 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 02/11/2016 |
| Medicare PECOS PAC ID | 4486541901 |
|---|---|
| Medicare Enrollment ID | O20161212000754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396104964 | NPI | - | NPPES |
| 048504 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 6333 (New Mexico) | Primary |
Mora Valley Community Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13 Mora Valley Clinic Road, State Hwy 518 Mile Marker 26, Mora, NM 87732 Phone: 575-387-5069 Fax: 575-387-9011 | |
Mora Valley Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Mora Valley Clinic Rd, Mora, NM 87732 Phone: 575-387-5069 Fax: 575-387-9011 | |
Northeast Regional Education Cooperative Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 518 Ranger Drive, Mora, NM 87732 Phone: 505-426-2262 Fax: 505-454-1473 |