Organization
PECOS VALLEY MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN NORRIS (CFO)
(505) 757-6482
Entity
Organization
Contact information
Practice address
199 HWY 50, PECOS, NM 87552-0710
(505) 757-6482
(505) 757-2700
Mailing address
PO BOX 710, PECOS, NM 87552-0710
(505) 757-6482
(505) 757-2700
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
6263
NM
3336C0002X
Clinic Pharmacy
CL00007120
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046623
—
NM
Enumeration date
01/26/2007
Last updated
09/22/2015
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