| San Jon School Based Health Center | |
|
7th And Elm Street San Jon NM 88434 | |
| (575) 576-2273 | |
| (575) 576-2273 |
| Full Name | San Jon School Based Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7th And Elm Street, San Jon, New Mexico |
| Authorized Official Name and Position | Gary Salazar (SUPERINTENDENT OF SCHOOLS) |
| Authorized Official Contact | 5755762467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Jon School Based Health Center Po Box 5 San Jon NM 88434-0005 Ph: (575) 576-2273 | San Jon School Based Health Center 7th And Elm Street San Jon NM 88434 Ph: (575) 576-2273 |
| NPI Number | 1275836231 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275836231 | NPI | - | NPPES |
| 1E03 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Mexico) | Primary |