Fort Bayard Medical Center Department of Health

NPI #1568821015 in Santa Clara, New Mexico

Provider Information

NPI Number
1568821015
Entity Type
Organization
Organization Name
Fort Bayard Medical Center Department of Health
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 12, 2016
Last Updated
Feb 12, 2016

Practice Location

Address
41 FORT BAYARD RD
ZIP Code
88026-0293
Phone
(575) 537-8745

Authorized Official

Name
MR. MARK BAILEY, RPH
Title
DIRECTOR OF PHARMACY
Phone
(575) 537-8745

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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