Agnes Martinez Family Health Clinic

LBN: Agnes Martinez Family Health Clinic
Agnes Martinez Family Health Clinic is an health care organization with primary practice located at State Highway 518 Mile Marker 29 , Mora NM 87732-0185. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Agnes Martinez Family Health Clinic can be contacted via phone (505) 387-5503, or through Bunker, Mary via phone (505) 387-5503.

Contact Information

Primary practice address
State Highway 518 Mile Marker 29 Mora NM 87732-0185
Phone: (505) 387-5503
Fax: (505) 387-5502
Website:
Map and Directions
Authorized official contact:
Name: Bunker, Mary Certified Nurse Practitioner (CNP)
Phone: (505) 387-5503

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 363LF0000X New Mexico

Profile Details

NPI number 1205010881
LBN Legal business name Agnes Martinez Family Health Clinic
DBA Doing business as
Authorized official Bunker, Mary Certified Nurse Practitioner (CNP)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 2007 - about 17 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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