Organization
FORT BAYARD MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN JAUREQUI R.N. (MDS COORDINATOR)
(505) 537-3302
Entity
Organization
Contact information
Practice address
100 CALLE EL CENTRO, BAYARD, NM 88036
(505) 537-3302
(505) 537-2161
Mailing address
PO BOX 36219, FT BAYARD, NM 88036-6219
(505) 537-3302
(505) 537-2161
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00I0068
—
NM
Enumeration date
10/11/2005
Last updated
09/23/2008
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