# BASIN OCCUPATIONAL AND URGENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770738999
- **Authorized official:** JASON CLARK (CLINIC DIRECTOR)
- **Authorized official phone:** (505) 324-0149

## Contact information

- **Practice address:** 1308 E 20TH ST, FARMINGTON, NM 87401-9022
- **Practice address phone:** (505) 324-0149
- **Practice address fax:** (505) 327-2197
- **Mailing address:** PO BOX 1806, BLOOMFIELD, NM 87413-1806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2008
- **Last updated:** 02/09/2010