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CROSSROADS COMMUNITY HEALTH CLINIC INC. NPI 1003257924


NPI Information

NPI: 1003257924
Provider Name: CROSSROADS COMMUNITY HEALTH CLINIC, INC.
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
1337 GUSDORF RD
SUITE O
TAOS, NM
ZIP 87571
Phone: (575) 776-7806
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CROSSROADS COMMUNITY HEALTH CLINIC, INC. is an acupuncturist in Taos, NM. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. CROSSROADS COMMUNITY HEALTH CLINIC, INC. NPI is 1003257924. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1337 GUSDORF RD
SUITE O
TAOS, NM
ZIP 87571-294
Phone: (575) 776-7806

The provider's authorized official is Lilly-marie Maita Blecher .
The authorized official title is Owner/doctor and has the following contact phone number (575) 776-7806.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 2/17/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturist1102NEW MEXICOYes
2207Q00000XFamily MedicineMD2011-0528NEW MEXICONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11306090907OTHERTYPE 1 NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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