| NPI | 1790072163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR BACA Administrator 575-589-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NM 0118221) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |