NPI 1003292228

Sacred Spirits Home Health

Organisation Health Maintenance Organization Continental Divide, NM

Practice location

Address: 40 Old Loop, Continental Divide, NM 87312-0145
Phone: (505) 240-3711
Mailing address: PO Box 145, Continental Divide, NM 87312-0145

Authorised official

Name: Tracy Jaramillo
Title: Health Services Admin
Phone: (505) 240-3711

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence R46467 (NM)

Other Health Maintenance Organization providers in New Mexico →

Registry record

NPI: 1003292228
Entity type: Organization
NPI issued: 11 Aug 2015
Record last updated: 11 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.