CROWNPOINT HEALTH CARE FACILITY; NPI #1831314707

Contact Information

CROWNPOINT HEALTH CARE FACILITY

HWY 371 ROUTE 9
CROWNPOINT, NM 87313-0358

Phone: 505-786-6344
Fax: 505-786-6440
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CROWNPOINT HEALTH CARE FACILITY

NPI Number 1831314707

LBN Legal business name CROWNPOINT HEALTH CARE FACILITY

Authorized official STACY WILLIAMS - (CHIEF PHARMACIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/16/2007

Last updated 06/24/2008 - About 18 years ago

Identifiers

NM	License #	AU4720846
AZ	Medicaid	021189
NM	Medicaid	47209

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CROWNPOINT HEALTH CARE FACILITY

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for CROWNPOINT HEALTH CARE FACILITY

Reviews for CROWNPOINT HEALTH CARE FACILITY