Crownpoint Mobile Clinic

NPI #1689833170 in Crownpoint, New Mexico

Provider Information

NPI Number: 1689833170
Entity Type: Organization
Organization Name: Crownpoint Mobile Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: DHHS PHS NAIHS CROWNPOINT HOSPITAL
Primary Specialty: Clinic/Center
Enumeration Date: Jun 9, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: HWY 371 NAVAJO JUNCTION ROUTE 9
City: Crownpoint
State: New Mexico
ZIP Code: 87313-0358
Phone: (505) 786-5291

Authorized Official

Name: MARY ANN ONEAL
Title: ADMINTRATIVE OFFICER
Phone: (505) 786-5291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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