| Sunrise Clinics - Eagle Nest Elementary Sbhc | |
|
225 E Lake Ave Eagle Nest NM 87718-8087 | |
| (585) 377-6991 | |
| (877) 651-0289 |
| Full Name | Sunrise Clinics - Eagle Nest Elementary Sbhc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 225 E Lake Ave, Eagle Nest, New Mexico |
| Authorized Official Name and Position | Jessica Sanchez (DIRECTOR OF HR) |
| Authorized Official Contact | 5754724311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Clinics - Eagle Nest Elementary Sbhc 117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 Ph: (575) 472-4311 | Sunrise Clinics - Eagle Nest Elementary Sbhc 225 E Lake Ave Eagle Nest NM 87718-8087 Ph: (585) 377-6991 |
| NPI Number | 1417630922 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417630922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |