MORA VALLEY COMMUNITY HEALTH SERVICES, INC. (NPI# 1396104964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396104964 |
| Entity Type | Organization |
| Organization Name | MORA VALLEY COMMUNITY HEALTH SERVICES, INC. |
| Practice Address |
10 Ranger Dr Mora NM 87732 |
| Mailing Address |
Po Box 209 Mora NM 87732-0209 |
| Practice Telephone | 5753873117 |
| Mailing Telephone | 5753875069 |
| Mailing Fax Number | 5753879011 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | JULIAN F BARELA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5753875069 |
| Is Organization Subpart | Y |
| Parent Organization Name | MORA VALLEY COMMUNITY HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
6333 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 048504 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518184860 | Mora Valley Community Health Services, Inc. | Ambulance | State Hwy 518, Mora, NM 87732 | 2007-04-19 |
| Street Address |
10 RANGER DR |
| City | MORA |
| State | NM |
| Zip Code | 87732 |
| 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 |
| 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 |
| 1205010881 | Agnes Martinez Family Health Clinic | Clinic/Center | State Highway 518 Mile Marker 29, Mora, NM 87732-0185 | 2007-12-19 |
| Find all providers in zip 87732 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932354768 | Northeast Regional Education Cooperative | Clinic/Center | Hwy 518 Ranger Drive, Mora, NM 87732 | 2008-11-20 |
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|---|---|---|---|---|
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| 1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1740553734 | Presbyterian Medical Services | Clinic/Center | #50 County Road 13, Cuba, NM 87013 | 2012-02-22 |
| 1124331103 | The Community Foundation of Southern New Mexico | Clinic/Center | 301 S Church St Ste H, Las Cruces, NM 88001-3568 | 2010-07-20 |
| 1720305188 | West Las Vegas Public Schools | Clinic/Center | 1024 South Pacific, Las Vegas, NM 87701-3495 | 2010-04-26 |
| 1801021670 | Communtiy Action Agency of Southern N.m., Inc. | Clinic/Center | 1301 Washington St., Anthony, NM 88021-8846 | 2009-05-22 |
| 1114161510 | Dulce Independent Schools | Clinic/Center | 125 Hawks Dr, Dulce, NM 87528-0547 | 2009-04-29 |
| 1245470061 | The Community Foundation of Southern New Mexico | Clinic/Center | 1755 El Paseo, Las Cruces High School - Based Health Center, Las Cruces, NM 88011 | 2009-03-06 |
| 1407094980 | The Community Foundation of Southern New Mexico | Clinic/Center | 800 County Line, Chaparral High School-based Health Center, Chaparral, NM 88081 | 2009-01-22 |
| Find all providers with the same taxonomy | ||||
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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.