Organization
STATE OF NEW MEXICO
Active
Parent organization
STATE OF NEW MEXICO
Other names
New Mexico State Veterans Home Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW MEXICO
Authorized official
MRS. MARIE R RICHTER (CHIEF FINANCIAL OFFICER)
(575) 894-4216
Entity
Organization
Contact information
Practice address
992 S BROADWAY, TRUTH OR CONSEQUENCES, NM 87901-3198
(575) 894-4254
(575) 894-4294
Mailing address
992 S BROADWAY, TRUTH OR CONSEQUENCES, NM 87901-3198
(575) 894-4254
(575) 894-4291
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5087
NM
Other
Enumeration date
05/13/2008
Last updated
08/26/2009
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