| Northeast Regional Education Cooperative | |
|
Hwy 518 Ranger Drive Mora NM 87732 | |
| (505) 426-2262 | |
| (505) 454-1473 |
| Full Name | Northeast Regional Education Cooperative |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | Hwy 518 Ranger Drive, Mora, New Mexico |
| Authorized Official Name and Position | James Adrian Abreu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5054543523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Regional Education Cooperative P.o. Box 927 Las Vegas NM 87701 Ph: (505) 426-2262 | Northeast Regional Education Cooperative Hwy 518 Ranger Drive Mora NM 87732 Ph: (505) 426-2262 |
| NPI Number | 1932354768 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932354768 | NPI | - | NPPES |
| 7C01 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (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 | |
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 |