Organization
COCHITI HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET A. SMOKER MD (ACTING CHIEF EXECUTIVE OFFICER)
(505) 988-9821
Entity
Organization
Contact information
Practice address
255 COCHITI ST, COCHITI PUEBLO, NM 87072-9998
(505) 465-2587
(505) 465-3018
Mailing address
PO BOX 150, COCHITI PUEBLO, NM 87072-0150
(505) 465-2587
(505) 465-3018
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1232
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H1232
—
NM
Enumeration date
09/21/2006
Last updated
01/21/2011
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