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.
Organization
FREE INDEED
Active
Organization
FREE INDEED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONECIMO MIRABAL (CHIEF EXECUTIVE OFFICER)
(505) 804-2899
Entity
Organization
Contact information
Practice address
3080 DESERT SAGE AVE SW, LOS LUNAS, NM 87031-6577
(505) 804-2899
Mailing address
3080 DESERT SAGE AVE SW, LOS LUNAS, NM 87031-6577
(505) 804-2899
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
06/13/2024
Last updated
01/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers