# OTERO COUNTY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OTERO COUNTY MEDICAL GROUP
- **Other names:** Center for Women's Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437584059
- **Legal business name:** OTERO COUNTY MEDICAL GROUP
- **Authorized official:** MR. ROBERT JAMES HECKERT FACHE (CEO)
- **Authorized official phone:** (575) 443-7845

## Contact information

- **Practice address:** 2559 MEDICAL DR, SUITE D, ALAMOGORDO, NM 88310-8703
- **Practice address phone:** (575) 434-2229
- **Mailing address:** 2689 SCENIC DR, ALAMOGORDO, NM 88310-8700
- **Mailing address phone:** (575) 434-1699
- **Mailing address fax:** (575) 434-8871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 09/13/2013