AGNES MARTINEZ FAMILY HEALTH CLINIC (NPI# 1205010881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205010881 |
| Entity Type | Organization |
| Organization Name | AGNES MARTINEZ FAMILY HEALTH CLINIC |
| Practice Address |
State Highway 518 Mile Marker 29 Mora NM 87732-0185 |
| Mailing Address |
Po Box 185 Mora NM 87732-0185 |
| Practice Telephone | 5053875503 |
| Practice Fax Number | 5053875502 |
| Mailing Telephone | 5053875503 |
| Mailing Fax Number | 5053875502 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | MRS. MARY BUNKER (OWNER) |
| Authorized Official Telephone | 5053875503 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
363LF0000X | NM | Ambulatory Health Care Facilities |
| Street Address |
STATE HIGHWAY 518 MILE MARKER 29 |
| City | MORA |
| State | NM |
| Zip Code | 87732-0185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326577651 | Bestcare Pharmacy-mora LLC | Pharmacy | #3 A033, Mora, NM 87732 | 2017-06-09 |
| 1457880114 | Bestcare Pharmacy-mora, LLC | Pharmacy | #3 A033 Bestcare Pharmacy-mora LLC, Mora, NM 87732 | 2017-06-07 |
| 1396104964 | Mora Valley Community Health Services, Inc. | Clinic/Center | 10 Ranger Dr, Mora, NM 87732 | 2016-02-11 |
| 1194055624 | Vicki K Stiles Lpcc | Community/Behavioral Health | 580 State Hwy 518, Mora, NM 87732 | 2010-01-06 |
| 1932354768 | Northeast Regional Education Cooperative | Clinic/Center | Hwy 518 Ranger Drive, Mora, NM 87732 | 2008-11-20 |
| 1518184860 | Mora Valley Community Health Services, Inc. | Ambulance | State Hwy 518, Mora, NM 87732 | 2007-04-19 |
| 1376676338 | Consuelo Cruz | Speech-Language Pathologist | Hwy 518 Ranger Rd., Mora, NM 87732 | 2007-03-13 |
| 1952434540 | Mora Independent School | Social Worker | Highway 518 Ranger Rd, Mora, NM 87732 | 2007-03-13 |
| 1366427791 | Esmael R Valdez | Dentist | State Hwy 518 Mm26, Mora, NM 87732 | 2005-12-08 |
| 1386634087 | Roger J Ames | Dentist | 13 Mora Clinic Rd, Mora, NM 87732 | 2005-10-24 |
| Find all providers in zip 87732 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1144676149 | Acuhealth Acupuncture, LLC | Clinic/Center | 511 W San Mateo Rd, Santa Fe, NM 87505-4027 | 2016-05-09 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1750687190 | Daves Health Services, LLC | Clinic/Center | 110 S Halagueno St, Carlsbad, NM 88220-5748 | 2011-02-02 |
| 1699079459 | Nm Health Care To You LLC | Clinic/Center | 4535 Schiff Trail, Silver City, NM 88061 | 2011-01-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.