| Quemado Health Center | |
|
8 Old Town Loop Quemado NM 87829 | |
| (575) 773-4610 | |
| (575) 773-4618 |
| Full Name | Quemado Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Old Town Loop, Quemado, New Mexico |
| Authorized Official Name and Position | Doug Smith (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 5059825565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quemado Health Center Po Box 2267 Santa Fe NM 87504-2267 Ph: (505) 982-5565 | Quemado Health Center 8 Old Town Loop Quemado NM 87829 Ph: (575) 773-4610 |
| NPI Number | 1760540553 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20091214000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760540553 | NPI | - | NPPES |
| 70281 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 32D0887987 (New Mexico) | Primary |
Quemado School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Old Town Loop, Quemado, NM 87829 Phone: 575-773-4610 |