Organization
BASIN OCCUPATIONAL AND URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CLARK (CLINIC DIRECTOR)
(505) 324-0149
Entity
Organization
Contact information
Practice address
1308 E 20TH ST, FARMINGTON, NM 87401-9022
(505) 324-0149
(505) 327-2197
Mailing address
PO BOX 1806, BLOOMFIELD, NM 87413-1806
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
02/09/2010
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