| NPI | 1780689034 |
|---|---|
| Other Name | HEALTH CENTERS OF NORTHERN NEW MEXICO |
| Entity Type | Organization |
| Authorized Contact | LORE PEASE CEO 505-753-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NM 6099) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-11-12 |