THOREAU CLINIC
NPI 1679516702
Clinic/Center in Thoreau, NM

Active since June 14, 2006
3 NAVARRE STREET, THOREAU, NM 87323(505) 862-8250(505) 862-8909 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thoreau Clinic NPPES

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

THOREAU CLINIC (NPI 1679516702) is a healthcare organization registered as a clinic/center in Thoreau, New Mexico and active in the NPI registry since June 2006. The organization lists Anslem Roanhorse, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679516702
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTHOREAU CLINIC
Location Address3 NAVARRE STREETThoreau, NM 87323
Mailing AddressPo Box 358Crownpoint, NM 87313-0358 · (505) 786-5291 · Fax (505) 786-6440
Fax(505) 862-8909
Organization SubpartYesParent: Dhhs Phs Naihs Crownpoint Hospital
Authorized OfficialAnslem RoanhorseCeo · (505) 786-5291
Enumeration DateJune 14, 2006
Last NPPES UpdateOctober 18, 2012
NPI 1679516702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 NAVARRE STREET, Thoreau, NM 87323

Other Identifiers 3

OtherHSZ145NM · Medicare Group Ptan
MedicaidR2903NM
Medicare OSCAR/certification320062NM

Other Providers at the Same Location NPPES 2

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

Optometrist
3 NAVARRE STREET
THOREAU, NM 87323
Obstetrics & Gynecology
3 NAVARRE STREET
THOREAU, NM 87323

Frequently 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 Thoreau Clinic's NPI number?

The NPI number for Thoreau Clinic is 1679516702. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Thoreau Clinic located?

Thoreau Clinic is located at 3 Navarre Street, Thoreau, NM 87323. The listed phone number is (505) 862-8250.

What is Thoreau Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Thoreau Clinic was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.