North Main Family Health Center, Pc

NPI 1083752919 - Family Medicine - 207Q00000X

NPI Details
NPI 1083752919
Enumeration Date 02/02/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FAY A FAY
Position PRESIDENT
Phone (505) 525-3531
Fax (505) 525-3534
Practice Location
2611 N MAIN ST
LAS CRUCES NM, 88001-1139, US
Phone (505) 525-3531
Fax (505) 525-3534
Business Location
2611 N MAIN ST
LAS CRUCES NM, 88001-1139, US
Phone (505) 525-3531
Fax (505) 525-3534
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number NM8366
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According to our database, North Main Family Health Center, Pc NPI is 1083752919, taxonomy code is 207Q00000X and license number is NM8366, license state is located at New Mexico. North Main Family Health Center, Pc physically located at 2611 N Main St, Las Cruces NM, 88001-1139. NPI Number 1033115704 has the healthcare provider type.

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1083752919 NPI number is provided on an as is basis without warranty of any kind. 1083752919 is maintained by the National Plan & Provider Enumeration System. The contents of North Main Family Health Center, Pc are for informational purposes only.