# SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
- **Other names:** Moreno Valley Urgent Care @ Angel Fire Resort
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487470977
- **Legal business name:** SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
- **Authorized official:** ASHLEY DEHERRERA (ADMINISTRATOR)
- **Authorized official phone:** (575) 483-3301

## Contact information

- **Practice address:** 10 FIVE SPRINGS RD., ANGEL FIRE, NM 87710
- **Practice address phone:** (575) 377-3301
- **Mailing address:** PO BOX 133, ANGEL FIRE, NM 87710-0133
- **Mailing address phone:** (575) 377-3301
- **Mailing address fax:** (575) 377-3204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2024
- **Last updated:** 11/29/2024