| NPI | 1760427587 |
|---|---|
| Doing Business As | DZILTH-NA-O-DITH-HLE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | FANNESSA COMER CEO 505-368-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP1100X Clinic/Center, Podiatric | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-07-11 |