MORA VALLEY COMMUNITY HEALTH SERVICES NPI 1841764776

NPI Information

NPI: 1841764776
Provider Name: MORA VALLEY COMMUNITY HEALTH SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3 MORA VALLEY CLINIC RD
MORA, NM
ZIP 87732
Phone: (575) 387-5069
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MORA VALLEY COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Mora, NM. MORA VALLEY COMMUNITY HEALTH SERVICES NPI is 1841764776. The provider is registered as an organization entity type.

The provider's business location address is:

3 MORA VALLEY CLINIC RD
MORA, NM
ZIP 87732-209
Phone: (575) 387-5069
Fax: (575) 387-9011

The provider's authorized official is Julian F. Barela .
The authorized official title is Chief Executive Officer and has the following contact phone number (575) 387-5069.

The enumeration date for this NPI number is 1/14/2019 and was last updated on 1/14/2019.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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

NPI Synchronization or Removal

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