Organization
LAS CLINICAS DEL NORTE, INCORPORATED
Active
Other names
Ojo Caliente Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY R LOPEZ (EXECUTIVE DIRECTOR)
(575) 581-4728
Entity
Organization
Contact information
Practice address
#35282 HWY 285, OJO CALIENTE, NM 87549-0307
(505) 583-2191
(505) 583-2520
Mailing address
PO BOX 237, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-0030
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6355
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70311
—
NM
Enumeration date
04/26/2007
Last updated
05/28/2015
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