NPI:
1386143352
Provider Name:
PECOS VALLEY MEDICAL CENTER, INC
Doing Business As: PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC
Classification:
Clinic/Center - 261QS1000X
Entity Type:
Organization
Specialization: Student Health
Address:
NORTH HIGHWAY 63
PANTHER PARKWAY
PECOS, NM
ZIP 87552
Phone:
(505) 757-6482
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PECOS VALLEY MEDICAL CENTER, INC is a student health clinic center in Pecos, NM. PECOS VALLEY MEDICAL CENTER, INC NPI is 1386143352. The provider is registered as an organization entity type.
The provider Is Doing Business As Pecos Valley Medical Center, Inc Teen School Based Clinic.
The provider's business location address is:
NORTH HIGHWAY 63
PANTHER PARKWAY
PECOS, NM
ZIP 87552
Phone: (505) 757-6482
Fax: (505) 757-2700
The provider's authorized official is Alberto Lopez .
The authorized official title is Facility Manager and has the following contact phone number (505) 757-7120.
The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.