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Sierra Vista Hospital 69
Pain Clinic/Center in T Or C, New Mexico
NPI 1801365317

Sierra Vista Hospital 69 is a Pain Clinic/Center based in T Or C, NM and is specialized in Pain. Sierra Vista Hospital 69 practices in T Or C, NM. The NPI Number for Sierra Vista Hospital 69 is 1801365317 and holds a License No. (New Mexico).

The current practice location address for Sierra Vista Hospital 69 is 800 E 9Th Ave, T Or C, NM and can be reached out via phone at 575-743-1244 and via fax at 575-894-7659.

Location: 800 E 9Th Ave, T Or C, NM, 87901-1954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801365317
Provider Name
Sierra Vista Hospital 69
Credential
Provider Entity Type
Organization
Address
800 E 9Th Ave, T Or C, NM, 87901-1954
Phone Number
575-743-1244
Fax Number
575-894-7659
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39804577 05 NM
institution
Provider Business Practice Location Address Details
Address
800 E 9Th Ave
City
T Or C
State
New Mexico
Zip
87901-1954
Phone Number
575-743-1244
Fax Number
575-894-7659
person
Provider Business Mailing Address Details
Address
800 E 9Th Ave
City
T Or C
State
New Mexico
Zip
87901-1954
Phone Number
575-743-1244
Fax Number
575-894-7659
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
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Definition
Definition to come...
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