Encore Express Care

LBN: Clovis Family Healthcare Center Llc
Encore Express Care is an health care organization with primary practice located at 2301 N Mlk Blvd , Clovis NM 88101-9401. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clovis Family Healthcare Center Llc can be contacted via phone (505) 762-4455, or through Shrader, Amanda via phone (575) 762-4455.

Contact Information

Primary practice address
2301 N Mlk Blvd Clovis NM 88101-9401
Fax: (505) 763-4029
Website:
Authorized official contact:
Name: Shrader, Amanda

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A112299 New Mexico

Profile Details

NPI number 1356401830
LBN Legal business name Clovis Family Healthcare Center Llc
DBA Doing business as Encore Express Care
Authorized official Shrader, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 27th, 2021 - about 4 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 1356401830 NPPES
New Mexico MEDICAID 62706501

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