MORA VALLEY COMMUNITY HEALTH SERVICES (NPI# 1841764776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841764776 |
| Entity Type | Organization |
| Organization Name | MORA VALLEY COMMUNITY HEALTH SERVICES |
| Practice Address |
3 Mora Valley Clinic Rd Mora NM 87732-0209 |
| Mailing Address |
Po Box 209 Mora NM 87732-0209 |
| Practice Telephone | 5753875069 |
| Practice Fax Number | 5753879011 |
| Mailing Telephone | 5753875069 |
| Mailing Fax Number | 5753879011 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | MR. JULIAN F. BARELA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5753875069 |
| Authorized Official Credential | D.B.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Street Address |
3 MORA VALLEY CLINIC RD |
| City | MORA |
| State | NM |
| Zip Code | 87732-0209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760891782 | Tanya Johnson | Social Worker | 3 Mora Valley Clinic Rd, Mora, NM 87732-2202 | 2014-08-04 |
| 1831707736 | Tyler E Martinez | Dentist | 3 Mora Valley Clinic Rd, Mora, NM 87732-2202 | 2020-07-16 |
| 1346707601 | Carmen Ulibarri | Counselor | 3 Mora Valley Clinic Rd, Mora, NM 87732-2202 | 2019-02-22 |
| 1245717693 | Nathan Christopher Duran | Dental Hygienist | 3 Mora Valley Clinic Rd, Mora, NM 87732-2202 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326577651 | Bestcare Pharmacy-mora LLC | Pharmacy | #3 A033, Mora, NM 87732 | 2017-06-09 |
| 1457880114 | Bestcare Pharmacy-mora, LLC | Pharmacy | #3 A033 Bestcare Pharmacy-mora LLC, Mora, NM 87732 | 2017-06-07 |
| 1396104964 | Mora Valley Community Health Services, Inc. | Clinic/Center | 10 Ranger Dr, Mora, NM 87732 | 2016-02-11 |
| 1194055624 | Vicki K Stiles Lpcc | Community/Behavioral Health | 580 State Hwy 518, Mora, NM 87732 | 2010-01-06 |
| 1932354768 | Northeast Regional Education Cooperative | Clinic/Center | Hwy 518 Ranger Drive, Mora, NM 87732 | 2008-11-20 |
| 1518184860 | Mora Valley Community Health Services, Inc. | Ambulance | State Hwy 518, Mora, NM 87732 | 2007-04-19 |
| 1376676338 | Consuelo Cruz | Speech-Language Pathologist | Hwy 518 Ranger Rd., Mora, NM 87732 | 2007-03-13 |
| 1952434540 | Mora Independent School | Social Worker | Highway 518 Ranger Rd, Mora, NM 87732 | 2007-03-13 |
| 1366427791 | Esmael R Valdez | Dentist | State Hwy 518 Mm26, Mora, NM 87732 | 2005-12-08 |
| 1386634087 | Roger J Ames | Dentist | 13 Mora Clinic Rd, Mora, NM 87732 | 2005-10-24 |
| Find all providers in zip 87732 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265666 | Hidalgo Medical Services | Clinic/Center | 105 1/2 N East St., Santa Clara, NM 88026 | 2020-08-12 |
| 1902436702 | La Clinica De Familia, Incorporated | Clinic/Center | 510 E Lisa Dr Bldg 2, Chaparral, NM 88081-7809 | 2020-01-21 |
| 1114578671 | La Clinica De Familia, Inc. | Clinic/Center | 100 Shrode Rd, Anthony, NM 88021-7350 | 2019-09-26 |
| 1083262422 | Presbyterian Medical Services | Clinic/Center | 28 Panther Parkway, 63 North Highway, Pecos, NM 87552 | 2019-08-29 |
| 1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
| 1487119608 | Presbyterian Medical Services | Clinic/Center | 1 Salomon Griego Road, Veguita, NM 87062 | 2019-02-01 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1417472192 | Fnch Outpatient Services | Clinic/Center | 634 Manzano Street Ne, Albuquerque, NM 87110 | 2017-08-03 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.