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Organization

FNCH INTEGRATED CARE MOBILE MEDICAL VAN

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
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
Primary
261QD0000X
Dental Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
261QH0100X
Health Service Clinic/Center

Other

Enumeration date
10/14/2024
Last updated
07/16/2025
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