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Organization

SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT

Active
Parent organization
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
Other names
Moreno Valley Urgent Care @ Angel Fire Resort
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT
Authorized official
ASHLEY DEHERRERA (ADMINISTRATOR)
(575) 483-3301
Entity
Organization

Contact information

Practice address
10 FIVE SPRINGS RD., ANGEL FIRE, NM 87710
(575) 377-3301
Mailing address
PO BOX 133, ANGEL FIRE, NM 87710-0133
(575) 377-3301
(575) 377-3204

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
11/29/2024
Last updated
11/29/2024
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