# FNCH SBHC NACA HIGH SCHOOL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740784198
- **Legal business name:** FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
- **Authorized official:** JUANITA J WIDENER (BILLING MANAGER)
- **Authorized official phone:** (505) 262-6588

## Contact information

- **Practice address:** 1711 STANFORD DR NE, ALBUQUERQUE, NM 87106-2535
- **Practice address phone:** (505) 262-2481
- **Practice address fax:** (505) 265-7045
- **Mailing address:** 5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
- **Mailing address phone:** (505) 262-6588
- **Mailing address fax:** (505) 262-7045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 10/08/2024