San Jon School Based Health Center

LBN: San Jon School Based Health Center
San Jon School Based Health Center is an health care organization with primary practice located at 7Th And Elm Street , San Jon NM 88434. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. San Jon School Based Health Center can be contacted via phone (575) 576-2273, or through Salazar, Gary via phone (575) 576-2467.

Contact Information

Primary practice address
7Th And Elm Street San Jon NM 88434
Phone: (575) 576-2273
Fax: (575) 576-2273
Website:
Map and Directions
Authorized official contact:
Name: Salazar, Gary
Phone: (575) 576-2467

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X New Mexico

Profile Details

NPI number 1275836231
LBN Legal business name San Jon School Based Health Center
DBA Doing business as
Authorized official Salazar, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2010
Last updated Dec 14th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275836231 NPPES
New Mexico MEDICAID 1E03

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