Organization
FT BAYARD MEDICAL CENTER DEPARTMENT OF HEALTH
Active
Organization
FT BAYARD MEDICAL CENTER DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON MARK BAILEY RPH (DIRECTOR OF PHARMACY)
(575) 537-8745
Entity
Organization
Contact information
Practice address
41 FT. BAYARD RD., SANTA CLARA, NM 88026
(575) 537-8745
(575) 537-8897
Mailing address
PO BOX 293, SANTA CLARA, NM 88026-0293
(575) 537-8745
(575) 537-8897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13343
IOWA BOARD OF PHARMACY LICENSE
IA
01
—
RP00006632
NEW BOARD OF PHARMACY PHARMACIST
NM
01
—
S005219
ARIZONA BOARD OF PHARMACY
AZ
Enumeration date
03/14/2016
Last updated
03/14/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up