Pueblo Pintado Clinic

NPI 1023051133 - Clinic/Center - 261Q00000X

NPI Details
NPI 1023051133
Enumeration Date 06/14/2006
Last Updated 10/18/2012
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Position CEO
Phone (505) 655-3501
Fax (505) 862-8909
Practice Location
CUBA NM, 87013, US
Phone (505) 655-3501
Fax (505) 862-8909
Business Location
PO BOX 358
CROWNPOINT NM, 87313-0358, US
Phone (505) 655-6501
Fax (505) 655-3510
Taxonomy Code 261Q00000X
License State
License Number
Remove 1023051133 NPI Number

According to our database, Pueblo Pintado Clinic NPI is 1023051133, taxonomy code is 261Q00000X Pueblo Pintado Clinic physically located at #10 Pueblo Pintado School, Cuba NM, 87013. NPI Number 1033115704 has the healthcare provider type.

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1023051133 NPI number is provided on an as is basis without warranty of any kind. 1023051133 is maintained by the National Plan & Provider Enumeration System. The contents of Pueblo Pintado Clinic are for informational purposes only.