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Organization
ULTIMED RED RIVER, INC.
Active
Organization
ULTIMED RED RIVER, INC.
Active
Parent organization
TAOS COMPREHENSIVE HEALTH CORPORATION
Other names
ultiMED Angel Fire
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAOS COMPREHENSIVE HEALTH CORPORATION
Authorized official
DR. LESA FRAKER MD (PRESIDENT)
(505) 989-8707
Entity
Organization
Contact information
Practice address
37 ASPEN, ANGEL FIRE, NM 87710-0000
(575) 754-1773
Mailing address
707 PASEO DE PERALTA, SANTA FE, NM 87501-1922
(505) 989-8707
(505) 989-3536
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/09/2010
Last updated
12/14/2010
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