| Mora Valley Community Health Services | |
|
3 Mora Valley Clinic Rd Mora NM 87732-0209 | |
| (575) 387-5069 | |
| (575) 387-9011 |
| Full Name | Mora Valley Community Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3 Mora Valley Clinic Rd, Mora, New Mexico |
| Authorized Official Name and Position | Julian F. Barela (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5753875069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mora Valley Community Health Services Po Box 209 Mora NM 87732-0209 Ph: (575) 387-5069 | Mora Valley Community Health Services 3 Mora Valley Clinic Rd Mora NM 87732-0209 Ph: (575) 387-5069 |
| NPI Number | 1841764776 |
|---|---|
| Provider Enumeration Date | 01/14/2019 |
| Last Update Date | 01/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841764776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mora Valley Community Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Ranger Dr, Mora, NM 87732 Phone: 575-387-3117 | |
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 | |
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 |