Crownpoint Mobile Clinic
Organization Active NPI Clinic/Center · Crownpoint, NM
NPI 1689833170 · NPPES record last updated Jun 9, 2008
Key facts
- NPI
- 1689833170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CROWNPOINT MOBILE CLINIC
- Practice address
- Hwy 371 Navajo Junction Route 9
Crownpoint, NM 87313-0358 - Phone
- (505) 786-5291
- NPI assigned
- Jun 9, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- DHHS PHS NAIHS CROWNPOINT HOSPITAL
Authorized official
- Name
- Mary Ann Oneal
- Title
- Admintrative Officer
- Phone
- (505) 786-5291
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Thoreau Clinic
- Part of
- Thoreau Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NM | Yes |
Addresses
Primary practice location
Hwy 371 Navajo Junction Route 9
Crownpoint, NM 87313-0358
Mailing address
PO Box 358
Crownpoint, NM 87313-0358
Phone (505) 786-5291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H8906 | Medicaid | NM |
Other providers in Crownpoint, NM
- Andrew Clemes
- Emily Craine
- Crownpoint Health Care Facility
- Crownpoint Health Care Pharmacy
- Crownpoint Healthcare Facility
- Ronald Edward Dancy Jr.
- Michael Davis
- DHHS PHS Naihs Crownpoint Hospital
- Eagle Air Med
- Darlington Friday Egbu
All providers in Crownpoint, NM · 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 Jun 9, 2008. 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.