# NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM

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

## Provider details

- **NPI number:** 1407064926
- **Authorized official:** BARBARA E. HICKOK RN, MPH (NMDOH PHD CHIEF NURSE)
- **Authorized official phone:** (505) 841-5890

## Contact information

- **Practice address:** 5301 CENTRAL AVE NE, SUITE 800, ALBUQUERQUE, NM 87108-1513
- **Practice address phone:** (505) 841-5837
- **Practice address fax:** (505) 222-8602
- **Mailing address:** 5301 CENTRAL AVE NE, SUITE 800, ALBUQUERQUE, NM 87108-1513
- **Mailing address phone:** (505) 841-5837
- **Mailing address fax:** (505) 222-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 08/22/2020