San Jon School Based Health Center
Organization Active NPI Federally Qualified Health Center (FQHC) · San Jon, NM
NPI 1275836231 · NPPES record last updated Dec 14, 2010
Key facts
- NPI
- 1275836231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- SAN JON SCHOOL BASED HEALTH CENTER
- Practice address
- 7TH and Elm Street
San Jon, NM 88434 - Phone
- (575) 576-2273
- Fax
- (575) 576-2273
- NPI assigned
- Dec 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary Salazar
- Title
- Superintendent of Schools
- Phone
- (575) 576-2467
Practitioners 4
-
Charlotte Carter, RN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NM | Yes |
Addresses
Primary practice location
7TH and Elm Street
San Jon, NM 88434
Mailing address
PO Box 5
San Jon, NM 88434-0005
Phone (575) 576-2273
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1E03 | Medicaid | NM |
Other providers in San Jon, NM
- Charlotte Carter
- Misti Dawn Gibson
- Loriella Haden
- Regional Educational Center #6
- Jaimie Alicia Sanchez
- Helen Louise Snapp
- Village of San Jon
- Amber Marie Watson
- Lynda Gayle White
All providers in San Jon, NM · Federally Qualified Health Center (FQHC) 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 14, 2010. 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.