MORA VALLEY COMMUNITY HEALTH SERVICES, INC.
NPI 1396104964
Clinic/Center - Student Health in Mora, NM

Active since February 11, 2016CLIA Certified · 2 labs

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2026, Feb 11, 2016 (2 updates tracked since 2016).

About Mora Valley Community Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MORA VALLEY COMMUNITY HEALTH SERVICES, INC. (NPI 1396104964) is a healthcare organization registered as a student health in Mora, New Mexico and active in the NPI registry since February 2016. The organization holds 2 active CLIA laboratory certificates and lists Julian F Barela, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396104964
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameMORA VALLEY COMMUNITY HEALTH SERVICES, INC.
Location Address10 RANGER RDMora, NM 87732-2340
Mailing AddressPo Box 209Mora, NM 87732-0209 · (575) 387-3117 · Fax (575) 387-9006
Organization SubpartYesParent: Mora Valley Community Health Services, Inc
Authorized OfficialJulian F BarelaExecutive Director · (877) 271-2202
Enumeration DateFebruary 11, 2016
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1396104964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License Licensed in NM · 6333
10 RANGER RD, Mora, NM 87732

Other Identifiers 1

Medicaid048504NM

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 32D2103261

Mora Valley Community Health Services Inc School Based · Mora, NM
Active · expires Oct 7, 2027
CLIA Number32D2103261
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorJessica Martinez
Laboratory Phone(575) 387-3317
Laboratory LocationMora Valley Community Health Services Inc School Based3 Mora Valley Clinic Rd, Mora, NM 87732
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D0715981

Mora Valley Community Health Services Inc · Mora, NM
Active · expires Apr 30, 2027
CLIA Number32D0715981
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorJessica Martinez
Laboratory Phone(575) 387-2201
Laboratory LocationMora Valley Community Health Services Inc3 Mora Valley Clinic Road, Mora, NM 87732
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
10 RANGER RD
MORA, NM 87732

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396104964, enumerated as an "organization" on February 11, 2016.

The provider is located at 10 RANGER RD MORA, NM 87732 and the phone number is (575) 387-3117.

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.