Organization
LA CLINICA DEL PUEBLO DE RIO ARRIBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS J RICHARDS NREMT-P (EMS DIRECTOR)
(505) 588-7252
Entity
Organization
Contact information
Practice address
HIGHWAY 84 COUNTY ROAD 324 #14, TIERRA AMARILLA, NM 87575
(505) 588-7252
(505) 588-7007
Mailing address
PO BOX 250, TIERRA AMARILLA, NM 87575-0250
(505) 588-7252
(505) 588-7007
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
03/23/2006
Last updated
08/22/2020
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