Northeast Regional Education Cooperative
Organization Active NPI Student Health Clinic/Center · Mora, NM
NPI 1932354768 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1932354768
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- NORTHEAST REGIONAL EDUCATION COOPERATIVE
- Practice address
- Hwy 518 Ranger Drive
Mora, NM 87732 - Phone
- (505) 426-2262
- Fax
- (505) 454-1473
- NPI assigned
- Nov 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. James Adrian Abreu
- Title
- Executive Director
- Phone
- (505) 454-3523
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Northeast Regional Education Cooperative
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
Hwy 518 Ranger Drive
Mora, NM 87732
Mailing address
P.O. Box 927
Las Vegas, NM 87701
Phone (505) 426-2262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7C01 | Medicaid | NM |
Other providers in Mora, NM
- Mora Valley Community Health Services
- Mora Valley Community Health Services Inc
- Mora Valley Community Health Services, Inc
- Mora Valley Community Health Services, Inc.
- Mora Valley Community Health Services, Inc.
- Oasis Therapy, LLC
- Sasankoti Mohan Ravi Prakash
- Teresa Katherine Elaine Smith de Cherif
- Bianca Valdez
- Vicki K Stiles LPCC
All providers in Mora, NM · Student 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 18, 2011. 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.