Santa Teresa Occmed Center, Pc in Santa Teresa - General Practice

Santa Teresa Occmed Center, Pc - NPI 1164603619

Santa Teresa Occmed Center, Pc is a General Practice in Santa Teresa, New Mexico. Santa Teresa Occmed Center, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Santa Teresa Occmed Center, Pc is 1164603619. The last update date is 2007-11-26.

Santa Teresa Occmed Center, Pc's current location address is 5055 Mcnutt Rd, Santa Teresa, New Mexico. You can contact this provider via phone number 5055895005. The mailing address for Santa Teresa Occmed Center, Pc is 5055 Mcnutt Rd, Santa Teresa, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Santa Teresa Occmed Center, Pc
Address 5055 Mcnutt Rd, Santa Teresa, New Mexico
Phone Number 5055895005
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Ayers L. Rebecca
Telephone Number 9158420504

NPI Number Detail

NPI Number 1164603619
Provider Enumeration Date 2007-11-26
Last Updated Date 2007-11-26

Provider Mailing Address Detail

Address 5055 Mcnutt Rd
City Santa Teresa
State New Mexico (NM)
Post Code 880089442
Phone Number 5055895005
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Santa Teresa Occmed Center, Pc

What is the unique identification code assigned to Santa Teresa Occmed Center, Pc by the Centers for Medicare & Medicaid Services?

The Santa Teresa Occmed Center, Pc has been issued the NPI (National Provider Identifier) 1164603619. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Santa Teresa Occmed Center, Pc is geographically located?

The Santa Teresa Occmed Center, Pc is physically situated at the following location: 5055 Mcnutt Rd, Santa Teresa, NM, 880089442.

What is Santa Teresa Occmed Center, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Santa Teresa Occmed Center, Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.

On what date did the Santa Teresa Occmed Center, Pc receive the assignment of its 1164603619 from the Centers for Medicare & Medicaid Services?

The Santa Teresa Occmed Center, Pc was issued its 1164603619 by the Centers for Medicare & Medicaid Services on 2007-11-26.

When was the information related to Santa Teresa Occmed Center, Pc most recently updated or refreshed?

The details pertaining to the Santa Teresa Occmed Center, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-26.

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