Organization
SANDIA MOUNTAIN MEDICAL, INC.
Active
Parent organization
SANDIA MOUNTAIN MEDICAL, INC
Other names
New Mexico Medical Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDIA MOUNTAIN MEDICAL, INC
Authorized official
JAMES MARC BEVERLY (COO/ OWNER)
(505) 281-5180
Entity
Organization
Contact information
Practice address
104 QUAIL TRL UNIT B, EDGEWOOD, NM 87015-7185
(505) 281-5180
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008
(505) 281-5180
(505) 281-5320
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
02478
NM
Other
Enumeration date
05/01/2017
Last updated
05/12/2017
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