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Organization

THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO

Active
Parent organization
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO
Other names
Chaparral High School-Based Health Center (Adolescent Services)
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO
Authorized official
CYNTHIA SOLUM (ADMINISTRATIVE ASSISTANT)
(575) 521-4794
Entity
Organization

Contact information

Practice address
800 COUNTY LINE, CHAPARRAL HIGH SCHOOL-BASED HEALTH CENTER, CHAPARRAL, NM 88081
(575) 882-6300
(575) 824-5081
Mailing address
301 S CHURCH ST, STE H, LAS CRUCES, NM 88001-3547
(575) 521-4794
(575) 521-7325

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1D05
NM
Enumeration date
01/22/2009
Last updated
01/10/2013
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