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Organization

LAS CLINICAS DEL NORTE INCORPORATED

Active
Parent organization
LAS CLINICAS DEL NORTE INCORPORATED
Other names
Pojoaque Valley High School Based Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAS CLINICAS DEL NORTE INCORPORATED
Authorized official
MR. ANDY R LOPEZ (CEO)
(575) 581-4728
Entity
Organization

Contact information

Practice address
1574 STATE ROAD 502, SANTA FE, NM 87506
(505) 455-4026
(575) 581-4728
Mailing address
571 ST RD BLDG 28, EL RITO, NM 87530-0237
(575) 581-4728
(575) 581-0030

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
02/22/2008
Last updated
11/04/2014
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