Organization
CARLSBAD FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
2013 SAN JOSE BLVD, CARLSBAD, NM 88220-5426
(505) 887-2455
(505) 234-2945
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
CL00007332
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3209649
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
321820
—
NM
05
—
50419
—
NM
Enumeration date
01/03/2007
Last updated
01/09/2021
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