Organization Name: | DULCE HEALTH CENTER |
NPI Number: | 1750388963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA LAHI (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 500 North Mundo Dulce |
State: | NM US |
Postal Code: | 875280187 |
Phone Number: | 5057593291 |
Fax Number: | 5057593532 |
NPI Enumeration Date: | 07/01/2005 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |