Mora Valley Community Health Services
NPI #1841764776 in Mora, New Mexico
Provider Information
- NPI Number
- 1841764776
- Entity Type
- Organization
- Organization Name
- Mora Valley Community Health Services
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 14, 2019
- Last Updated
- Jan 14, 2019
Practice Location
- Address
- 3 MORA VALLEY CLINIC RD
- City
- Mora
- State
- New Mexico
- ZIP Code
- 87732-0209
- Phone
- (575) 387-5069
Authorized Official
- Name
- MR. JULIAN F. BARELA, D.B.A
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (575) 387-5069
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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