Canoncito Community Clinic
NPI #1841365558 in San Fidel, New Mexico
Provider Information
- NPI Number
- 1841365558
- Entity Type
- Organization
- Organization Name
- Canoncito Community Clinic
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Jan 9, 2012
Practice Location
- Address
- EXIT #131 OFF I 40 6 MILES NORTH
- City
- San Fidel
- State
- New Mexico
- ZIP Code
- 87049-0130
- Phone
- (505) 552-5385
Authorized Official
- Name
- BARBARA FELIPE
- Title
- ACL IHS CEO
- Phone
- (505) 552-5303
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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