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Contact Information

MORA VALLEY COMMUNITY HEALTH SERVICES, INC.
STATE HWY 518
MORA, NM87732
 Phone: 575-387-5069
 Fax: 575-387-9011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MORA VALLEY COMMUNITY HEALTH SERVICES, INC.

NPI # 1518184860
LBN Legal business name MORA VALLEY COMMUNITY HEALTH SERVICES, INC.
Authorized official WANDA SALAZAR - (FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 09/04/2008 - About 18 years ago
Identifiers
NM License # 15506
NM Medicaid R1595
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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