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 | 2024-08-29 |