Organization
CROWNPOINT HEALTHCARE FACILITY
Active
Other names
Crownpoint Medicaid Swingbed
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN ONEAL (ADMINISTRATIVE OFFICER)
(505) 786-5291
Entity
Organization
Contact information
Practice address
HIGHWAY 371 ROUTE 9, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R9095
—
NM
Enumeration date
04/13/2007
Last updated
06/24/2008
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