Blue Skies Primary Care Pc

LBN: Blue Skies Primary Care Pc
Blue Skies Primary Care Pc is an health care organization with primary practice located at 1110 W Florida St , Deming NM 88030-4908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blue Skies Primary Care Pc can be contacted via phone (505) 546-4811, or through Graor, Robert via phone (505) 546-4811.

Contact Information

Primary practice address
1110 W Florida St Deming NM 88030-4908
Phone: (505) 546-4811
Fax: (505) 546-4821
Website:
Map and Directions
Authorized official contact:
Name: Graor, Robert Doctor of Medicine (MD)
Phone: (505) 546-4811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X New Mexico

Profile Details

NPI number 1740321439
LBN Legal business name Blue Skies Primary Care Pc
DBA Doing business as
Authorized official Graor, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jan 28th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740321439 NPPES
New Mexico MEDICAID 70974764

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