Organization
CHILDREN'S MEDICAL SERVICES
Active
Organization
CHILDREN'S MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA SISNEROS (STATEWIDE CLINIC COORDINATOR)
(505) 476-8863
Entity
Organization
Contact information
Practice address
2040 S PACHECO ST, SANTA FE, NM 87505-5472
(505) 476-8863
(505) 476-8896
Mailing address
2040 S PACHECO ST, SANTA FE, NM 87505-5472
(505) 476-8863
(505) 476-8896
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10887831
—
NM
05
—
46441
—
NM
05
—
46789
—
NM
05
—
48157
—
NM
05
—
48264
—
NM
05
—
E7576
—
NM
Enumeration date
05/16/2007
Last updated
08/22/2020
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