| Pecos Valley Medical Center, Inc Teen School Based Clinic | |
|
North Highway 63 Panther Parkway Pecos NM 87552 | |
| (505) 757-6482 | |
| (505) 757-2700 |
| Full Name | Pecos Valley Medical Center, Inc Teen School Based Clinic |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | North Highway 63, Pecos, New Mexico |
| Authorized Official Name and Position | Alberto Lopez (FACILITY MANAGER) |
| Authorized Official Contact | 5057577120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecos Valley Medical Center, Inc Teen School Based Clinic Po Box 710 Pecos NM 87552-0710 Ph: (505) 757-7120 | Pecos Valley Medical Center, Inc Teen School Based Clinic North Highway 63 Panther Parkway Pecos NM 87552 Ph: (505) 757-6482 |
| NPI Number | 1386143352 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 02/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386143352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | PENDING (New Mexico) | Primary |
Pecos Valley Medical Center-school Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 Phone: 505-757-7053 | |
Pecos Valley Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Hwy 50, Pecos, NM 87552 Phone: 505-757-6482 Fax: 505-757-2700 | |
Pecos Valley Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Highway 50 Bldg A, Pecos, NM 87552 Phone: 505-757-6482 Fax: 505-443-8304 |