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Contact Information

FT BAYARD MEDICAL CENTER DEPARTMENT OF HEALTH
41 FT. BAYARD RD.
SANTA CLARA, NM88026
 Phone: 575-537-8745
 Fax: 575-537-8897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FT BAYARD MEDICAL CENTER DEPARTMENT OF HEALTH

NPI # 1396106670
LBN Legal business name FT BAYARD MEDICAL CENTER DEPARTMENT OF HEALTH
Authorized official JON BAILEY - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2016
Last updated 03/14/2016 - About 10 years ago
Identifiers
NM License # 3336L0003X
AZ Other S005219 ARIZONA BOARD OF PHARMACY
IA Other 13343 IOWA BOARD OF PHARMACY LICENSE
NM Other RP00006632 NEW BOARD OF PHARMACY PHARMACIST
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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