| Ojo Caliente Clinic | |
|
#35282 Hwy 285 Ojo Caliente NM 87549-0307 | |
| (505) 583-2191 | |
| (505) 583-2520 |
| Full Name | Ojo Caliente Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | #35282 Hwy 285, Ojo Caliente, New Mexico |
| Authorized Official Name and Position | Andy R Lopez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5755814728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ojo Caliente Clinic Po Box 237 El Rito NM 87530-0237 Ph: (575) 581-4728 | Ojo Caliente Clinic #35282 Hwy 285 Ojo Caliente NM 87549-0307 Ph: (505) 583-2191 |
| NPI Number | 1437379880 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/28/2015 |
| Medicare PECOS PAC ID | 1456252428 |
|---|---|
| Medicare Enrollment ID | O20090305000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437379880 | NPI | - | NPPES |
| 70311 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6355 (New Mexico) | Primary |
Mesa Vista School Based Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 285 Junction 111, Ojo Caliente, NM 87549 Phone: 505-583-2401 Fax: 575-581-0030 |