# CHILDREN'S MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023225778
- **Authorized official:** YOLANDA SISNEROS (STATEWIDE CLINIC COORDINATOR)
- **Authorized official phone:** (505) 476-8863

## Contact information

- **Practice address:** 2040 S PACHECO ST, SANTA FE, NM 87505-5472
- **Practice address phone:** (505) 476-8863
- **Practice address fax:** (505) 476-8896
- **Mailing address:** 2040 S PACHECO ST, SANTA FE, NM 87505-5472
- **Mailing address phone:** (505) 476-8863
- **Mailing address fax:** (505) 476-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020