Organization
STATE OF NEW MEXICO
Active
Parent organization
STATE OF NEW MEXICO
Other names
New Mexico State Veterans Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW MEXICO
Authorized official
MARIE R RICHTER (CHIEF FINANCIAL OFFICER)
(575) 894-4216
Entity
Organization
Contact information
Practice address
992 S BROADWAY, TRUTH OR CONSEQUENCES, NM 87901-3198
(575) 894-4200
(575) 894-4291
Mailing address
992 S BROADWAY, TRUTH OR CONSEQUENCES, NM 87901-3198
(575) 894-4200
(575) 894-4291
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
32D0693149
NM
291U00000X
Clinical Medical Laboratory
Primary
5087
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52367
—
NM
Enumeration date
08/01/2006
Last updated
04/06/2010
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