| NPI | 1477615789 |
|---|---|
| Other Name | FOUR CORNERS REGIONAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | FANNESSA COMER CEO 505-368-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QD0000X Clinic/Center, Dental | |
| 261QE0002X Clinic/Center, Emergency Care | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-01-07 |