| Pms/wnmmg Grants Clinic | |
|
1217 Bonita St Grants NM 87020-2103 | |
| (505) 287-2950 | |
| Not Available |
| Full Name | Pms/wnmmg Grants Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1217 Bonita St, Grants, New Mexico |
| Authorized Official Name and Position | Marla Mitchell (ADMINISTRATOR) |
| Authorized Official Contact | 5052872950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pms/wnmmg Grants Clinic 1217 Bonita St Grants NM 87020-2103 Ph: (505) 287-2950 | Pms/wnmmg Grants Clinic 1217 Bonita St Grants NM 87020-2103 Ph: (505) 287-2950 |
| NPI Number | 1922325067 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 04/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922325067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD2009-0779 (New Mexico) | Primary |
Arnold W. Valdivia, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 Bonita St, Grants, NM 87020 Phone: 505-287-4474 Fax: 505-287-8775 | |
Cibola General Hospital Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1423 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-6500 Fax: 505-287-5393 |