TAOS COMPREHENSIVE HEALTH CORPORATION NPI 1962568253

NPI Information

TAOS COMPREHENSIVE HEALTH CORPORATION is an urgent care clinic center in Santa Fe, NM. TAOS COMPREHENSIVE HEALTH CORPORATION NPI is 1962568253. The provider is registered as an organization entity type.
The provider Is Doing Business As Ultimed.

The provider's business location address is:

707 PASEO DE PERALTA
SANTA FE, NM
ZIP 87501-922
Phone: (505) 989-8707
Fax: (505) 989-3536

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 32D1021593 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 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:

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