| New Mexico Mountain Healthcare | |
|
348 St. Rd. 4 San Ysidro NM 87053 | |
| (505) 404-6048 | |
| Not Available |
| Full Name | New Mexico Mountain Healthcare |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 348 St. Rd. 4, San Ysidro, New Mexico |
| Authorized Official Name and Position | Mark G Dumal (CEO) |
| Authorized Official Contact | 5054046048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico Mountain Healthcare 348 St. Rd. 4 San Ysidro NM 87053 Ph: (505) 404-6048 | New Mexico Mountain Healthcare 348 St. Rd. 4 San Ysidro NM 87053 Ph: (505) 404-6048 |
| NPI Number | 1508021627 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508021627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 97-229 (New Mexico) | Primary |
San Ysidro Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 State Road 4, San Ysidro, NM 87053 Phone: 505-321-9935 Fax: 575-289-2688 |