# RIP & SNORT HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1295211340
- **Authorized official:** DEVONNA ANNE JOHNSON FNP-C (PROVIDER/ADMINISTRATOR)
- **Authorized official phone:** (520) 488-1756

## Contact information

- **Practice address:** 110 SOLANO RD, PIE TOWN, NM 87827
- **Practice address phone:** (520) 488-1756
- **Practice address fax:** (888) 614-3881
- **Mailing address:** PO BOX 781, PIE TOWN, NM 87827-0781
- **Mailing address phone:** (520) 488-1756
- **Mailing address fax:** (888) 614-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NM | Yes |

## Other

- **Enumeration date:** 07/12/2018
- **Last updated:** 11/15/2023