Organization
LAS CLINICAS DEL NORTE, INCORPORATED
Active
Other names
El Rito Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY R. LOPEZ (CEO)
(505) 581-4728
Entity
Organization
Contact information
Practice address
HIGHWAY 571 #28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-0030
Mailing address
HWY 571 #28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-0030
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47704
—
NM
Enumeration date
05/24/2005
Last updated
05/27/2015
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