# COMPCARE NEW MEXICO INC.

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

## Provider details

- **NPI number:** 1033444658
- **Authorized official:** LISA GURULE (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (505) 367-3547

## Contact information

- **Practice address:** 706 LA JOYA ST STE C, ESPANOLA, NM 87532-2877
- **Practice address phone:** (505) 367-3547
- **Mailing address:** 706 LA JOYA ST STE C, ESPANOLA, NM 87532-2877
- **Mailing address phone:** (505) 367-3547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | R25973 | NM | Yes |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 10/23/2009