Organization
FIRST NATIONS COMMUNITY HEALTHSOURCE INC
Active
Parent organization
FIRST NATIONS COMMUNITY HEALTHSOURCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST NATIONS COMMUNITY HEALTHSOURCE
Authorized official
LINDA SON-STONE CEO (CEO)
(505) 262-2481
Entity
Organization
Contact information
Practice address
625 TRUMAN ST NE, ALBUQUERQUE, NM 87110-6443
(505) 262-2481
(505) 262-0781
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(052) 622-4815
(505) 262-0781
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00046912
—
NM
Enumeration date
03/29/2013
Last updated
01/04/2023
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