MINERS COLFAX MEDICAL CENTER
Adult Care Home
Raton, New Mexico
Provider NPI: 1871630665
Organization Information:Organization Name: MINERS COLFAX MEDICAL CENTER
Practice Location:
900 S 6TH ST RATON, NM 87740 US
Tel: 505-445-4518 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
900 S 6TH ST RATON, NM 87740 US
Tel: 505-445-4518 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | NM | 5083 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
I0472 | NM | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin