NEW MEXICO MOUNTAIN HEALTHCARE
NPI 1508021627
Clinic/Center - Rural Health in San Ysidro, NM
Active since July 29, 2008
About New Mexico Mountain Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW MEXICO MOUNTAIN HEALTHCARE (NPI 1508021627) is a healthcare organization registered as a rural health in San Ysidro, New Mexico and active in the NPI registry since July 2008. The organization lists Mark G Dumal, Ceo, as its authorized official.
NPPES Registry Identity
NPI1508021627
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameNEW MEXICO MOUNTAIN HEALTHCARE
Location Address348 ST. RD. 4San Ysidro, NM 87053
Mailing Address348 St. Rd. 4San Ysidro, NM 87053 · (505) 404-6048
Phone(505) 404-6048
Organization SubpartNo
Authorized OfficialMark G DumalCeo · (505) 404-6048
Enumeration DateJuly 29, 2008
Last NPPES UpdateJuly 30, 2008
✔ NPI 1508021627 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in NM · 97-229
348 ST. RD. 4, San Ysidro, NM 87053
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508021627, enumerated as an "organization" on July 29, 2008.
The provider is located at 348 ST. RD. 4 SAN YSIDRO, NM 87053 and the phone number is (505) 404-6048.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
