# PECOS VALLEY MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PECOS VALLEY MEDICAL CENTER, INC
- **Other names:** PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386143352
- **Legal business name:** PECOS VALLEY MEDICAL CENTER, INC
- **Authorized official:** ALBERTO LOPEZ (FACILITY MANAGER)
- **Authorized official phone:** (505) 757-7120

## Contact information

- **Practice address:** NORTH HIGHWAY 63, PANTHER PARKWAY, PECOS, NM 87552
- **Practice address phone:** (505) 757-6482
- **Practice address fax:** (505) 757-2700
- **Mailing address:** PO BOX 710, PECOS, NM 87552-0710
- **Mailing address phone:** (505) 757-7120
- **Mailing address fax:** (505) 757-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | PENDING | NM | Yes |

## Other

- **Enumeration date:** 02/06/2018
- **Last updated:** 02/06/2018