NPI | 1285141549 |
---|---|
Former Legal Business Name | ST. LUKE'S HEALTH CARE CLINIC, INC |
Entity Type | Organization |
Authorized Contact | PAMELA L ANGELL CEO 575-527-5482 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6350) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2022-12-01 |