NPIMap

Mora Valley Community Health Services

Organization Active NPI Federally Qualified Health Center (FQHC) · Mora, NM

NPI 1841764776 · NPPES record last updated Jan 14, 2019

Key facts

NPI
1841764776
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
MORA VALLEY COMMUNITY HEALTH SERVICES
Practice address
3 Mora Valley Clinic Rd
Mora, NM 87732-0209
Phone
(575) 387-5069
Fax
(575) 387-9011
NPI assigned
Jan 14, 2019
Organization subpart
No

Authorized official

Name
Mr. Julian F. Barela, D.B.A
Title
Chief Executive Officer
Phone
(575) 387-5069

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mora Valley Community Health Services Inc (2 organizations share this tax ID)

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDHAA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

3 Mora Valley Clinic Rd
Mora, NM 87732-0209

Mailing address

PO Box 209
Mora, NM 87732-0209
Phone (575) 387-5069

Other providers in Mora, NM

All providers in Mora, NM · Federally Qualified Health Center (FQHC) in New Mexico

Sources for this page

Verify at the official NPI Registry.