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Organization
THE JIM WOOD HOME
Active
Organization
THE JIM WOOD HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TURNER (ADMINISTRATOR)
(575) 649-6686
Entity
Organization
Contact information
Practice address
1163 W. CANAL ST., HATCH, NM 87937-0770
(575) 267-1300
Mailing address
PO BOX 770, 1163 WEST CANAL ST., HATCH, NM 87937-0770
(575) 267-1300
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
2261
NM
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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