The Jim Wood Home
Organization Active NPI Community Health Clinic/Center · Hatch, NM
NPI 1245629187 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1245629187
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- License
- 2261 (NM)
- Legal business name
- THE JIM WOOD HOME
- Practice address
- 1163 W. Canal St.
Hatch, NM 87937-0770 - Phone
- (575) 267-1300
- NPI assigned
- Jan 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Tracy Turner
- Title
- Administrator
- Phone
- (575) 649-6686
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 2261 | NM | Yes |
Addresses
Primary practice location
1163 W. Canal St.
Hatch, NM 87937-0770
Mailing address
PO Box 770
1163 West Canal St.
Hatch, NM 87937-0770
Phone (575) 267-1300
Other providers in Hatch, NM
- Anna Salazar
- Guadalupe Salazar
- Guilus Schultz
- Roberta Stellman
- Joshua David Tafoya
- United Drug & Liquor Inc
- Shayla Wilson
All providers in Hatch, NM · Community Health 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 Jan 15, 2015. 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.