OrganizationActive
New Mexico Mountain Healthcare
NPI 1508021627 · Rural Health Clinic/Center · San Ysidro, NM
Provider details
- NPI number
- 1508021627
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Dumal, Ceo(505) 404-6048
- License
- 97-229 (NM)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
348 St. Rd. 4
San Ysidro, NM 87053
Phone: (505) 404-6048
Approximate (ZIP-level) locationGet directions
Mailing address
348 St. Rd. 4
San Ysidro, NM 87053
Registry dates
- Enumerated
- 2008-07-29
- Last updated
- 2008-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.