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Organization

FORT BAYARD MEDICAL CENTER DEPARTMENT OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK BAILEY RPH (DIRECTOR OF PHARMACY)
(575) 537-8745
Entity
Organization

Contact information

Practice address
41 FORT BAYARD RD, SANTA CLARA, NM 88026-0293
(575) 537-8745
(575) 537-8897
Mailing address
41 FT BAYARD RD, SANTA CLARA, NM 88026
(575) 537-8745
(575) 537-8897

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RSD08058
NM

Other

Enumeration date
02/12/2016
Last updated
02/12/2016
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