Thoreau Clinic is a Clinic/center in Thoreau, New Mexico. Thoreau Clinic practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Thoreau Clinic is 1679516702. The last update date is 2012-10-18.
Thoreau Clinic's current location address is 3 Navarre Street, Thoreau, New Mexico. You can contact this provider via phone number 5058628250 and fax number 5058628909. The mailing address for Thoreau Clinic is 3 Navarre Street, Thoreau, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Thoreau Clinic |
|---|---|
| Address | 3 Navarre Street, Thoreau, New Mexico |
| Phone Number | 5058628250 |
| Fax Number | 5058628909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Roanhorse Anslem |
| Telephone Number | 5057865291 |
NPI Number Detail
| NPI Number | 1679516702 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2012-10-18 |
Provider Mailing Address Detail
| Address | 3 Navarre Street |
|---|---|
| City | Thoreau |
| State | New Mexico (NM) |
| Post Code | 87323 |
| Phone Number | 5058628250 |
| Fax Number | 5058628909 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R2903 | NM | -- | |
| HSZ145 | NM | MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thoreau Clinic by the Centers for Medicare & Medicaid Services?
The Thoreau Clinic has been issued the NPI (National Provider Identifier) 1679516702, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thoreau Clinic is physically located?
The Thoreau Clinic is physically situated at the following address: 3 Navarre Street, Thoreau, NM, 87323.
What is the Thoreau Clinic's specialty and taxonomy code?
The Thoreau Clinic's specialty is Clinic/center, and the corresponding taxonomy code is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679516702 to Thoreau Clinic?
The Centers for Medicare & Medicaid Services assigned the 1679516702 to Thoreau Clinic on 2006-06-14.
When was the information regarding Thoreau Clinic most recently updated?
The details pertaining to the Thoreau Clinic, including its address, specialty, and other relevant information, were last refreshed on 2012-10-18.