Organization
PECOS VALLEY MEDICAL CENTER, INC
Active
Parent organization
PECOS VALLEY MEDICAL CENTER, INC
Other names
PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PECOS VALLEY MEDICAL CENTER, INC
Authorized official
ALBERTO LOPEZ (FACILITY MANAGER)
(505) 757-7120
Entity
Organization
Contact information
Practice address
NORTH HIGHWAY 63, PANTHER PARKWAY, PECOS, NM 87552
(505) 757-6482
(505) 757-2700
Mailing address
PO BOX 710, PECOS, NM 87552-0710
(505) 757-7120
(505) 757-2700
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
PENDING
NM
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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