Organization
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
Active
Parent organization
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
Authorized official
LINDA STONE (CEO)
(505) 262-6546
Entity
Organization
Contact information
Practice address
7317 CENTRAL AVE NE, ALBUQUERQUE, NM 87108-2015
(505) 262-2481
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6588
(505) 265-7045
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00046912
—
NM
Enumeration date
03/13/2019
Last updated
10/08/2024
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