OrganizationActive
Free Indeed
NPI 1598508152 · Community Health Clinic/Center · Los Lunas, NM
Provider details
- NPI number
- 1598508152
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Onecimo Mirabal, Chief Executive Officer(505) 804-2899
Specialties & taxonomies
Ambulatory Health Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
3080 Desert Sage Ave Sw
Los Lunas, NM 87031-6577
Phone: (505) 804-2899
Approximate (ZIP-level) locationGet directions
Mailing address
3080 Desert Sage Ave Sw
Los Lunas, NM 87031-6577
Registry dates
- Enumerated
- 2024-06-13
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.