| NPI | 1225117773 |
|---|---|
| Doing Business As | MOUNTAINAIR FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | DOUG SMITH Executive Vice President 505-982-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6703) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NM CL00007531) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-01-09 |