OrganizationActive
Cibola Specialty Associates
NPI 1003444647 · Multi-Specialty Clinic/Center · Grants, NM
Provider details
- NPI number
- 1003444647
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Whelan, Ceo(505) 287-5300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Practice location
1208 Bonita St
Grants, NM 87020-2234
Phone: (505) 287-4446
Approximate (ZIP-level) locationGet directions
Mailing address
1016 E Roosevelt Ave
Grants, NM 87020-2118
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2021-01-11
- Certified
- 2021-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.