La Clinica Del Pueblo De Rio Arriba in Tierra Amarilla - Federally Qualified Health Center (fqhc)
La Clinica Del Pueblo De Rio Arriba - NPI 1598797805
La Clinica Del Pueblo De Rio Arriba is a Federally Qualified Health Center (fqhc) in Tierra Amarilla, New Mexico. La Clinica Del Pueblo De Rio Arriba practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Clinica Del Pueblo De Rio Arriba is 1598797805. The last update date is 2023-12-08.
La Clinica Del Pueblo De Rio Arriba's current location address is Po Box 250, Tierra Amarilla, New Mexico. You can contact this provider via phone number 5755887252 and fax number 5755889132. The mailing address for La Clinica Del Pueblo De Rio Arriba is Po Box 250, Tierra Amarilla, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica Del Pueblo De Rio Arriba |
|---|---|
| Address | Po Box 250, Tierra Amarilla, New Mexico |
| Phone Number | 5755887252 |
| Fax Number | 5755889132 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM EX |
|---|---|
| Authorized Official Name | Gurule G Paula |
| Telephone Number | 5755887252 |
NPI Number Detail
| NPI Number | 1598797805 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2023-12-08 |
Provider Mailing Address Detail
| Address | Po Box 250 |
|---|---|
| City | Tierra Amarilla |
| State | New Mexico (NM) |
| Post Code | 875750250 |
| Phone Number | 5755887252 |
| Fax Number | 5755889132 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50740 | NM | -- | |
| 1366581373 | NM | JODI K. CASADOS | |
| 1467742015 | NM | LUIGI A. DULANTO, M.D. | |
| 50740 | NM | -- | |
| 1215129291 | NM | AMBULANCE | |
| 1730472085 | NM | LEVI I. MAES, M.D. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to La Clinica Del Pueblo De Rio Arriba by the Centers for Medicare & Medicaid Services?
The La Clinica Del Pueblo De Rio Arriba has been issued the NPI (National Provider Identifier) 1598797805, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where La Clinica Del Pueblo De Rio Arriba's facilities are geographically located?
The facilities of La Clinica Del Pueblo De Rio Arriba are physically situated at the following location: Po Box 250, Tierra Amarilla, NM, 875750250.
What is the area of specialization for La Clinica Del Pueblo De Rio Arriba, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for La Clinica Del Pueblo De Rio Arriba is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598797805 to La Clinica Del Pueblo De Rio Arriba?
The La Clinica Del Pueblo De Rio Arriba received its 1598797805 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the details related to La Clinica Del Pueblo De Rio Arriba most recently updated or revised?
The information pertaining to La Clinica Del Pueblo De Rio Arriba, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-08.