New Mexico Mountain Healthcare
New Mexico Mountain Healthcare is a Rural Health Clinic/Center in San Ysidro, New Mexico. Licensed in New Mexico. Registered with an NPI since 2008.
- Licensed in
- NM
- In the registry since
- 2008
Practice location Address checks out
348 St Rd 4San Ysidro, NM 87053
Phone: (505) 404-6048
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 97-229 (NM) |
|---|
Record details
| NPI number | 1508021627 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Dumal — Ceo · (505) 404-6048 |
| NPI enumerated | July 29, 2008 |
| Last updated in NPPES | July 30, 2008 |
| Mailing address | 348 St. Rd. 4, San Ysidro, NM 87053 |