Organization
TAOS PICURIS HEALTH CENTER
Active
Other names
TAOS PICURIS HEALTH CTR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL W OSBORNE (ADMINISTRATIVE OFFICER)
(575) 758-6978
Entity
Organization
Contact information
Practice address
1090 GOAT SPRINGS ROAD, TAOS, NM 87571-1946
(575) 758-6978
(575) 751-5211
Mailing address
PO BOX 95452, CLEVELAND, OH 44101-0033
(575) 758-6978
(575) 751-5211
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSZ189
MEDICARE PART B
NM
05
—
K3543
—
NM
Enumeration date
08/31/2006
Last updated
09/26/2023
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