Organization
CROWNPOINT MOBILE CLINIC
Active
Parent organization
DHHS PHS NAIHS CROWNPOINT HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHHS PHS NAIHS CROWNPOINT HOSPITAL
Authorized official
MARY ANN ONEAL (ADMINTRATIVE OFFICER)
(505) 786-5291
Entity
Organization
Contact information
Practice address
HWY 371 NAVAJO JUNCTION ROUTE 9, CROWNPOINT, NM 87313-0358
(505) 786-5291
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-5291
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H8906
—
NM
Enumeration date
06/09/2008
Last updated
06/09/2008
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