Organization
BEN ARCHER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALICE GARAY (EXECUTIVE DIRECTOR)
(575) 267-3289
Entity
Organization
Contact information
Practice address
255 HWY 187, ADMINISTRATIVE OFFICE, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Mailing address
PO BOX 370, ADMINISTRATIVE OFFICE, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6316
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47738
—
NM
Enumeration date
07/03/2008
Last updated
07/03/2008
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