NEW MEXICO MOUNTAIN HEALTHCARE is a rural health clinic center in San Ysidro, NM. NEW MEXICO MOUNTAIN HEALTHCARE NPI is 1508021627. The provider is registered as an organization entity type.
The provider's business location address is:
348 ST. RD. 4 SAN YSIDRO, NM ZIP 87053 Phone: (505) 404-6048
The provider's authorized official is Mark G Dumal . The authorized official title is Ceo and has the following contact phone number (505) 404-6048.
The enumeration date for this NPI number is 7/29/2008 and was last updated on 7/30/2008.
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:
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: 3/30/2025
NPI Synchronization or Removal
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