Organization
MESCALERO INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORLYNN LOUISE SIMMONS (CHIEF EXECUTIVE OFFICER)
(505) 464-4441
Entity
Organization
Contact information
Practice address
318 ABALONE LOOP, MESCALERO, NM 88340-0210
(505) 464-4441
(505) 464-3877
Mailing address
PO BOX 210, 318 ABALONE LOOP, MESCALERO, NM 88340-0210
(505) 464-4441
(505) 464-3877
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H2347
—
NM
Enumeration date
09/27/2006
Last updated
12/21/2007
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