BASIN OCCUPATIONAL AND URGENT CARE


Address: 1308 E 20th St, Farmington, NM 87401-9022
Phone: 5053240149

BASIN OCCUPATIONAL AND URGENT CARE (NPI# 1770738999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770738999
Entity Type Organization
Organization Name BASIN OCCUPATIONAL AND URGENT CARE
Practice Address 1308 E 20th St
Farmington
NM 87401-9022
Mailing Address Po Box 1806
Bloomfield
NM 87413-1806
Practice Telephone 5053240149
Practice Fax Number 5053272197
Enumeration Date 2008-12-02
Last Update Date 2010-02-09
Authorized Official Name JASON CLARK (CLINIC DIRECTOR)
Authorized Official Telephone 5053240149
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities
Y 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities

Office Location

Street Address 1308 E 20TH ST
City FARMINGTON
State NM
Zip Code 87401-9022

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Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City FARMINGTON
Zip Code 87401

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Dataset Information

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.

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