PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC – NPI #1386143352
Clinic/Center

PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC is an AHC clinic located in PECOS, NM. NPPES has assigned the NPI number 1386143352 to PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC on February 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC” is a dba name, the actual legal business name for this organization is PECOS VALLEY MEDICAL CENTER, INC. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC below.

NPI Profile for
PECOS VALLEY MEDICAL CENTER, INC

NPI Number
1386143352
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PECOS VALLEY MEDICAL CENTER, INC
Doing Business As (dba): PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC
Primary location
NORTH HIGHWAY 63
PANTHER PARKWAY
PECOS, NM 87552
Phone: (505) 757-6482 Fax: (505) 757-2700
Mailing address
PO BOX 710
PECOS, NM 87552-0710
Phone: (505) 757-7120 Fax: (505) 757-2700
Organization Subpart
Yes - PECOS VALLEY MEDICAL CENTER, INC TEEN SCHOOL BASED CLINIC is subpart of another organization.
Authorized Official
ALBERTO LOPEZ
FACILITY MANAGER
Phone: (505) 757-7120
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)		 NM PENDING

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.