Agnes Martinez Family Health Clinic
Organization Active NPI Health Service Clinic/Center · Mora, NM
NPI 1205010881 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1205010881
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 363LF0000X (NM)
- Legal business name
- AGNES MARTINEZ FAMILY HEALTH CLINIC
- Practice address
- State Highway 518 Mile Marker 29
Mora, NM 87732-0185 - Phone
- (505) 387-5503
- Fax
- (505) 387-5502
- NPI assigned
- Dec 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mary Bunker, CNP
- Title
- Owner
- Phone
- (505) 387-5503
Practitioners 1
-
Mary Bunker, CNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 363LF0000X | NM | Yes |
Addresses
Primary practice location
State Highway 518 Mile Marker 29
Mora, NM 87732-0185
Mailing address
PO Box 185
Mora, NM 87732-0185
Phone (505) 387-5503
Other providers in Mora, NM
- Deyhle R Adkins
- Roger J Ames
- Estrella C. Apolonia
- Samuel A Aragon
- Bestcare Pharmacy-Mora LLC
- Bestcare Pharmacy-Mora, LLC
All providers in Mora, NM · Health Service Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.