La Clinica Del Pueblo De Rio Arriba
NPI #1598797805 in Tierra Amarilla, New Mexico
Provider Information
- NPI Number
- 1598797805
- Entity Type
- Organization
- Organization Name
- La Clinica Del Pueblo De Rio Arriba
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- US HWY 84, COUNTY ROAD 0324, #14
- City
- Tierra Amarilla
- State
- New Mexico
- ZIP Code
- 87575-0250
- Phone
- (575) 588-7252
Authorized Official
- Name
- LEONARD HORAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (575) 588-7252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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