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AGNES MARTINEZ FAMILY HEALTH CLINIC NPI 1205010881


NPI Information

NPI: 1205010881
Provider Name: AGNES MARTINEZ FAMILY HEALTH CLINIC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
STATE HIGHWAY 518 MILE MARKER 29
MORA, NM
ZIP 87732
Phone: (505) 387-5503
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AGNES MARTINEZ FAMILY HEALTH CLINIC is a health service clinic center in Mora, NM. AGNES MARTINEZ FAMILY HEALTH CLINIC NPI is 1205010881. The provider is registered as an organization entity type.

The provider's business location address is:

STATE HIGHWAY 518 MILE MARKER 29
MORA, NM
ZIP 87732-185
Phone: (505) 387-5503
Fax: (505) 387-5502

The provider's authorized official is Mary Bunker .
The authorized official title is Owner and has the following contact phone number (505) 387-5503.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service363LF0000XNEW MEXICOYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.