| NPI | 1700178167 |
|---|---|
| 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 ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NM 6350) |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2023-08-23 |