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Organization

ROBERT F. KENNEDY CHARTER HIGH SCHOOL

Active
Other names
Robert F. Kennedy School Based Heath Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BONNIE K. KAUEMAN RN (ROBERT. F. KENNEDY SBHC COORDINATOR)
(505) 239-7589
Entity
Organization

Contact information

Practice address
4300 BLAKE SW, ALBUQUERQUE, NM 87121
(505) 243-1118
(505) 242-7444
Mailing address
4300 BLAKE SW, ALBUQUERQUE, NM 87121
(505) 243-1118
(505) 242-7444

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
NM
261Q00000X
Clinic/Center
Primary
NM
291U00000X
Clinical Medical Laboratory
3201078041
NM
3336C0002X
Clinic Pharmacy
CL00D110644
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1C01
NM
Enumeration date
12/06/2007
Last updated
03/04/2010
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