Organization
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO
Active
Parent organization
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO
Other names
Gadsden High School-Based Health Center (Adolescent Services)
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO
Authorized official
CYNTHIA SOLUM (ADMINISTRATIVE ASSISTANT)
(575) 521-4794
Entity
Organization
Contact information
Practice address
HIGHWAY 28, GADSDEN HIGH SCHOOL-BASED HEALTH CENTER, ANTHONY, NM 88021
(575) 882-6300
(575) 882-2370
Mailing address
301 S CHURCH ST, STE H, LAS CRUCES, NM 88001-3547
(575) 521-4794
(575) 521-7325
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D04
—
NM
Enumeration date
02/03/2009
Last updated
01/10/2013
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