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Thoreau Clinic
Clinic/Center in Thoreau, New Mexico
NPI 1679516702

Thoreau Clinic is a Clinic/Center based in Crownpoint, NM. Thoreau Clinic practices in Thoreau, NM. The NPI Number for Thoreau Clinic is 1679516702 and holds a License No. (New Mexico).

The current practice location address for Thoreau Clinic is 3 Navarre Street, Thoreau, NM and can be reached out via phone at 505-862-8250 and via fax at 505-862-8909.

Location: 3 Navarre Street, Thoreau, NM, 87313-0358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679516702
Provider Name
Thoreau Clinic
Credential
Provider Entity Type
Organization
Address
3 Navarre Street, Thoreau, NM, 87313-0358
Phone Number
505-862-8250
Fax Number
505-862-8909
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R2903 05 NM
HSZ145 01 NM MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
3 Navarre Street
City
Thoreau
State
New Mexico
Zip
87323
Phone Number
505-862-8250
Fax Number
505-862-8909
person
Provider Business Mailing Address Details
Address
3 Navarre Street
City
Thoreau
State
New Mexico
Zip
87323
Phone Number
505-862-8250
Fax Number
505-862-8909
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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