TAOS COMPREHENSIVE HEALTH CORPORATION NPI 1396051835

NPI Information

  • NPI: 1396051835
  • Provider Name: TAOS COMPREHENSIVE HEALTH CORPORATION
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: ULTIMED RIO RANCHO
  • CLIA Number: 32D1098975
  • Address: 7555 ENCHANTED HILLS BLVD NE
    RIO RANCHO, NM
    ZIP 87144
  • Phone: (505) 771-9833

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NPI Details

TAOS COMPREHENSIVE HEALTH CORPORATION is an urgent care clinic center in Rio Rancho, NM. TAOS COMPREHENSIVE HEALTH CORPORATION NPI is 1396051835. The provider is registered as an organization entity type.
The provider Is Doing Business As Ultimed Rio Rancho.

The provider's business location address is:

7555 ENCHANTED HILLS BLVD NE
RIO RANCHO, NM
ZIP 87144-625
Phone: (505) 771-9833
Fax: (505) 771-9834

The provider's authorized official is Lesa D Fraker .
The authorized official title is President and has the following contact phone number (505) 989-8707.

The CLIA number assigned to this NPI record is 32D1098975 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2010 and was last updated on 12/14/2010.

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
1261QU0200XClinic/CenterUrgent CareNEW MEXICOYes

What is NPI?

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This page was last updated on: 3/30/2025

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