GRANTS FAMILY HEALTH CENTER
NPI 1205902376
Clinic/Center - Federally Qualified Health Center (FQHC) in Grants, NM
NPI Status: Active since November 28, 2006
Contact Information
1217 BONITA ST
GRANTS, NM
ZIP 87020
Phone: (505) 287-2958
Fax: (505) 287-2403
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 32D0961509
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 02-21-2026
About GRANTS FAMILY HEALTH CENTER
Grants Family Health Center is a primary care provider established in Grants, New Mexico operating as a Clinic/center with a focus in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1205902376 assigned on November 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Grants Family Health Center. The authorized official of this NPI record is Doug Smith (Executive Vice President)
- NPI
- 1205902376
- Provider Legal Name
- PRESBYTERIAN MEDICAL SERVICES
- Other Organization Name
- GRANTS FAMILY HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1217 BONITA ST GRANTS, NM 87020
- Location Phone
- (505) 287-2958
- Location Fax
- (505) 287-2403
- Mailing Address
- PO BOX 2267 SANTA FE, NM 87504
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 11-28-2006
- Last Update Date
- 01-09-2021
- Code Navigator
A primary care provider (PCP) like Grants Family Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License State
- NM
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332900000X | Suppliers | Non-Pharmacy Dispensing Site | CL00007401 (NM) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Aetna CVS Health
- Bronze 1 PPO: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care + Rx Copay - PPO
- Bronze 1: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay - HMO
- Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - EPO
- Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - HMO
- Bronze 2 HSA: Aetna network of doctors & hospitals + walk-in clinic + Virtual Care 24/7 - HMO
Ambetter from Absolute Total Care
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
Ambetter from Arizona Complete Health
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
Ambetter from Arkansas Health & Wellness
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver - PPO
- Complete Silver + Vision + Adult Dental - PPO
Ambetter from Buckeye Health Plan
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
Ambetter from Home State Health
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
Ambetter from Louisiana Healthcare Connections
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
Ambetter from Magnolia Health
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA with Walgreens - HMO
- Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
Ambetter from Meridian
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
Ambetter from MHS
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
Ambetter from Nebraska Total Care
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
Ambetter from NH Healthy Families
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
Ambetter from Peach State Health Plan
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Bronze - HMO
- Clear Bronze + Vision + Adult Dental - HMO
- Clear Gold - HMO
Ambetter from Sunflower Health Plan
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
Ambetter from Sunshine Health
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
Ambetter from Superior HealthPlan
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
Ambetter of Alabama
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
Ambetter of Illinois
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Central Silver - HMO
Ambetter of North Carolina
- Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
- Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
Ambetter of Oklahoma
- Clear Gold - PPO
- Clear Gold + Vision + Adult Dental - PPO
- Clear Silver - PPO
- Clear Silver + Vision + Adult Dental - PPO
- Complete Silver - PPO
Ambetter of Tennessee
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
Avera Health Plans
- Avera $1800 Medical Deductible with $0 Rx Deductible - PPO
- Avera $2000 Medical Deductible with $0 Rx Deductible - PPO
- Avera $4000 Medical Deductible with $0 Rx Deductible - PPO
- Avera $5200 HSA Eigible HDHP - PPO
- Avera $5200 HSA Eligilble HDHP - PPO
AvMed
- AvMed Entrust Bronze 600 (2024) - HMO
- AvMed Entrust Bronze 625 Dental+Vision (2024) - HMO
- AvMed Entrust Bronze 650 (2024) - HMO
- AvMed Entrust Expanded Bronze Standard (2024) - HMO
- AvMed Entrust Gold 125 (2024) - HMO
BannerAetna
- BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
Baylor Scott and White Health Plan
- BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
- BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
- BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
- BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
Blue Cross and Blue Shield of Illinois
- Blue Choice Preferred Bronze PPO℠ 201 - PPO
- Blue Choice Preferred Bronze PPO℠ 202 - PPO
- Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
- Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
- Blue Choice Preferred Bronze PPO℠ 708 - PPO
Blue Cross and Blue Shield of Kansas City
- Blue KC Catastrophic BlueSelect EPO - EPO
- Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care - EPO
- Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
- Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care - EPO
- Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
Blue Cross and Blue Shield of Montana
- Blue Focus Bronze POS℠ 205 - POS
- Blue Focus Bronze POS℠ 705 - POS
- Blue Focus Bronze POS℠ 708 - POS
- Blue Focus Gold POS℠ 207 - POS
- Blue Focus Gold POS℠ 707 - POS
Blue Cross and Blue Shield of Nebraska
- HeartlandBlue Bronze 0% Coinsurance After Deductible 9450 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 Blueprint Health - EPO
- HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
- HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
- HeartlandBlue Bronze Standard Copay 7500 Blueprint Health - EPO
Blue Cross and Blue Shield of Oklahoma
- Blue Advantage Bronze PPO℠ 801 - PPO
- Blue Advantage Bronze PPO℠ 202 - PPO
- Blue Advantage Bronze PPO℠ 203 - PPO
- Blue Advantage Gold PPO℠ 309 - PPO
- Blue Advantage Gold PPO℠ 604 - PPO
Blue Cross and Blue Shield of Texas
- Blue Advantage Bronze HMO℠ 204 - HMO
- Blue Advantage Bronze HMO℠ 301 - HMO
- Blue Advantage Bronze HMO℠ 302 - HMO
- Blue Advantage Bronze HMO℠ 707 - HMO
- Blue Advantage Gold HMO℠ 206 - HMO
Blue Cross Blue Shield of North Dakota
- BlueCare Gold 70 - PPO
- BlueCare Silver 60 - PPO
- BlueDirect Bronze 100 - PPO
- BlueDirect Gold 90 - PPO
- BlueDirect Silver 80 - PPO
Blue Cross Blue Shield of Wyoming
- BlueSelect Bronze Balance - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Bronze Value - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
BlueCross BlueShield of Tennessee
- BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
Chorus Community Health Plans
- Chorus Bronze Copay - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Clear Bronze - EPO
- Chorus Core Bronze - EPO
CHRISTUS Health Plan
- CHRISTUS Bronze - HMO
- CHRISTUS Bronze Plus - HMO
- CHRISTUS Catastrophic - HMO
- CHRISTUS Gold - HMO
- CHRISTUS Gold Plus - HMO
Common Ground Healthcare Cooperative
- CGHC Bronze $6000 - Envision Network - EPO
- CGHC Bronze $6000 - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9450 ($35 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9450 ($35 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
Highmark Blue Cross Blue Shield Delaware
- my Blue Access Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
Highmark Blue Cross Blue Shield West Virginia
- my Blue Access WV Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
Medica
- Balance by Medica Bronze Copay $0 PCP - EPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Share Plus - EPO
- Balance by Medica Bronze Standard - EPO
- Balance by Medica Catastrophic - EPO
MedMutual
- Market HMO 2500 - HMO
- Market HMO 3850 - HMO
- Market HMO 4000 HSA - HMO
- Market HMO 6900 - HMO
- Market HMO 7300 HSA - HMO
Oscar Health Insurance
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus (Select) - HMO
- Bronze Elite + Specialist Saver Plus (Select) - HMO
Oscar Health Plan of Georgia
- Bronze Classic 4700 - HMO
- Bronze Classic PCP Saver Plus - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple 2 - HMO
Oscar Health Plan of North Carolina, Inc
- Bronze Classic 4700 - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple HSA - HMO
Oscar Health Plan, Inc.
- Bronze Classic - HMO
- Bronze Classic (Choice) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 (Choice) - HMO
- Bronze Classic 4700 (Select) - HMO
Oscar Insurance Company
- Bronze Classic - EPO
- Bronze Classic | MercyOne - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic 4700 (Choice) - EPO
Oscar Insurance Company of Florida
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + Specialist Saver Plus - EPO
Oscar Insurance Corporation of Ohio
- Bronze Classic - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple - HMO
- Bronze Simple HSA - HMO
Primewell Health Services of Mississippi
- Essential Bronze 6500 - POS
- Essential Gold 1500 - POS
- Freedom Silver 4000 - POS
- Savings Bronze 5500 - POS
- Savings Bronze 7400 - POS
Priority Health
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Bronson Healthcare Partners - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Balanced Silver Southeast Michigan Network - HMO
Sanford Health Plan
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $2,800 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3209687 | OTHER (01) | OTHER ID NUMBER | |
| 43620 | MEDICAID (05) | NM |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D0961509
- Facility Type
- Community Clinic
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grants Family Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GRANTS FAMILY HEALTH CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 0 | 2 | 3 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 0 | 4 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 0 + 4 + 3 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1205902376 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306856166 | LITA C BAILLY FNP Individual | Nurse Practitioner (Family) | 1217 BONITA ST GRANTS, NM 87020 (505) 287-2950 |
| 1922325067 | PMS/WNMMG GRANTS CLINIC Organization | Clinic/Center (Primary Care) | 1217 BONITA ST GRANTS, NM 87020 (505) 287-2950 |
| 1902113632 | LINDA A BRITO Individual | Counselor | 1217 BONITA ST GRANTS, NM 87020 (505) 471-5006 |
| 1730496860 | ELVEN RAY CLEMONS Individual | Counselor | 1217 BONITA ST GRANTS, NM 87020 (505) 471-5006 |
| 1619286499 | ASHLEI L ALLEN Individual | Counselor | 1217 BONITA ST GRANTS, NM 87020 (505) 471-5006 |
| 1972803823 | JOSEPHINE LYNNETTE ELKINS Individual | Counselor | 1217 BONITA ST GRANTS, NM 87020 (575) 447-3086 |
| 1922396506 | JOHNATHON L RILEY BMS Individual | Counselor | 1217 BONITA ST GRANTS, NM 87020 (505) 876-1890 |
| 1104159060 | MS. CHANDRA S. GORDON LADAC; LPC Individual | Counselor (Addiction (Substance Use Disorder)) | 1217 BONITA ST GRANTS, NM 87020 (505) 287-2273 |
| 1174730154 | DR. ANN EDMUNDS HEATH MD Individual | Family Medicine | 1217 BONITA ST GRANTS, NM 87020 (505) 287-2950 |
| 1588947113 | MS. NICOLE NEAL LPCC Individual | Counselor (Mental Health) | 1217 BONITA ST PMS DBA WNMMG GRANTS, NM 87020 (505) 287-2273 |
| 1114159753 | ADOREE ANNE SHUAIB LMHC Individual | Counselor (Mental Health) | 1217 BONITA ST GRANTS, NM 87020 (505) 285-3825 |
| 1518681360 | SHERRY ANN POLEN CNP Individual | Nurse Practitioner (Family) | 1217 BONITA ST GRANTS, NM 87020 (505) 287-2958 |
| 1962015958 | EUN BELLISARIO CNP Individual | Nurse Practitioner (Family) | 1217 BONITA ST GRANTS, NM 87020 (505) 287-2958 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205902376, enumerated in the NPI registry as an "organization" on November 28, 2006
The provider is located at 1217 Bonita St Grants, Nm 87020 and the phone number is (505) 287-2958
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Absolute Total. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 32D0961509 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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