| Socorro Community Health Cntr | |
|
1300 Enterprise Socorro NM 87801 | |
| (505) 835-4444 | |
| (505) 835-1010 |
| Full Name | Socorro Community Health Cntr |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Enterprise, Socorro, 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 |
|---|---|
| Socorro Community Health Cntr Po Box 2267 Presbyterian Medical Svcs Inc Santa Fe NM 87504 Ph: () - | Socorro Community Health Cntr 1300 Enterprise Socorro NM 87801 Ph: (505) 835-4444 |
| NPI Number | 1407898034 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 01/09/2021 |
| Medicare PECOS PAC ID | 2062324684 |
|---|---|
| Medicare Enrollment ID | O20101014000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407898034 | NPI | - | NPPES |
| 3211137 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 31637809 | Medicaid | NM |
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