Organization
MORA VALLEY COMMUNITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIAN F. BARELA D.B.A (CHIEF EXECUTIVE OFFICER)
(575) 387-5069
Entity
Organization
Contact information
Practice address
3 MORA VALLEY CLINIC RD, MORA, NM 87732-0209
(575) 387-5069
(575) 387-9011
Mailing address
PO BOX 209, MORA, NM 87732-0209
(575) 387-5069
(575) 387-9011
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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