Rip & Snort Healthcare, LLC
Organization Active NPI Community Health Clinic/Center · Pie Town, NM
NPI 1295211340 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1295211340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- Legal business name
- RIP & SNORT HEALTHCARE, LLC
- Practice address
- 110 Solano Rd
Pie Town, NM 87827 - Phone
- (520) 488-1756
- Fax
- (888) 614-3881
- NPI assigned
- Jul 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Devonna Anne Johnson, FNP-C
- Title
- Provider/Administrator
- Phone
- (520) 488-1756
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NM | Yes |
Addresses
Primary practice location
110 Solano Rd
Pie Town, NM 87827
Mailing address
PO Box 781
Pie Town, NM 87827-0781
Phone (520) 488-1756
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92826555 | Medicaid | NM |
Other providers in Pie Town, NM
All providers in Pie Town, 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 Nov 15, 2023. 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.