| Sierra Vista School Based Clinic | |
|
475 Legion Dr. Las Vegas NM 87701 | |
| (505) 425-6788 | |
| Not Available |
| Full Name | Sierra Vista School Based Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 475 Legion Dr., Las Vegas, New Mexico |
| Authorized Official Name and Position | Heather Rector (CREDENTIALING SPECIALIST II) |
| Authorized Official Contact | 5057475946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Vista School Based Clinic Po Box 158 Espanola NM 87532-0158 Ph: (505) 753-7218 | Sierra Vista School Based Clinic 475 Legion Dr. Las Vegas NM 87701 Ph: (505) 425-6788 |
| NPI Number | 1316475403 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 9830080688 |
|---|---|
| Medicare Enrollment ID | O20171019002308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316475403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Sangre De Cristo Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Airport Rd, Las Vegas, NM 87701 Phone: 505-718-6319 | |
San Miguel Clinic Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Legion Dr Ste A, Las Vegas, NM 87701 Phone: 505-454-9499 | |
Sunrise Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 New Mexico Ave, Las Vegas, NM 87701 Phone: 505-426-2599 Fax: 877-553-1272 | |
Las Vegas Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Legion Dr Ste A, Las Vegas, NM 87701 Phone: 505-425-2662 Fax: 505-425-6410 | |
Sunrise Clinics - Wlv Middle/high Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1024 S Pacific Street, Las Vegas, NM 87701 Phone: 505-426-2599 Fax: 877-651-0289 |