Organization
LAS CLINICAS DEL NORTE INCORPORATED
Active
Parent organization
LAS CLINICAS DEL NORTE INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAS CLINICAS DEL NORTE INCORPORATED
Authorized official
ANDREA SANDOVAL MBA (CEO)
(575) 581-4728
Entity
Organization
Contact information
Practice address
1797B ST. RD 502, SANTA FE, NM 87506
(505) 455-4026
(505) 455-4038
Mailing address
PO BOX 237, EL RITO, NM 87530-0237
(505) 455-4026
(575) 581-0030
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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