MORENO VALLEY HEALTHCARE CLINIC
NPI 1215163639
Clinic/Center - Health Service in Angel Fire, NM
About Moreno Valley Healthcare Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MORENO VALLEY HEALTHCARE CLINIC (NPI 1215163639) is a healthcare organization registered as a health service in Angel Fire, New Mexico and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists William Norris, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moreno Valley Healthcare Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Moreno Valley Healthcare Clinic, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D0879190
Moreno Valley Healthcare Clinic · Angel Fire, NMFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South Central Colfax County Special Hospital District's NPI number?
The NPI number for South Central Colfax County Special Hospital District is 1215163639. It was assigned to this organization in the NPPES registry on June 1, 2009. The provider is doing business as Moreno Valley Healthcare Clinic.
Where is South Central Colfax County Special Hospital District located?
South Central Colfax County Special Hospital District is located at 11 Elliott Barker Road, Angel Fire, NM 87710. The listed phone number is (575) 377-3301.
What is South Central Colfax County Special Hospital District's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is South Central Colfax County Special Hospital District enrolled in Medicare?
Yes. South Central Colfax County Special Hospital District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Central Colfax County Special Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to South Central Colfax County Special Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does South Central Colfax County Special Hospital District hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D0879190) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for South Central Colfax County Special Hospital District was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Moreno Valley Healthcare Clinic · NPI 1215163639
Health Service organization in Angel Fire, New Mexico. Organization record, active in the CMS NPPES registry since June 1, 2009.
## Identity
- **NPI:** 1215163639 (Entity type: Organization)
- **Enumerated:** June 1, 2009
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Legal business name:** South Central Colfax County Special Hospital District
- **Organization subpart:** Yes (part of South Central Colfax County Special Hospital District)
- **Authorized official:** William Norris, ADMINISTRATOR
## Practice location
- **Address:** 11 ELLIOTT BARKER ROAD, Angel Fire, NM 87710
- **Phone:** (575) 377-3301 · **Fax:** (575) 377-3991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215163639) · Data from the CMS NPPES public registry.