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Organization
VALLEY FIRST CARE
Active
Organization
VALLEY FIRST CARE
Active
Other names
Santa Fe Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GURULE (BILLING SPECIALIST)
(505) 474-6097
Entity
Organization
Contact information
Practice address
3600 RODEO LN, SUITE A1, SANTA FE, NM 87507-6400
(505) 474-6097
(505) 474-4693
Mailing address
528 N CORONADO AVE, ESPANOLA, NM 87532-2790
(505) 747-6939
(505) 747-6816
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46233
—
NM
Enumeration date
02/04/2009
Last updated
02/04/2009
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