Clovis Surgery Center Llc

LBN: Clovis Surgery Center Llc
Clovis Surgery Center Llc is an health care organization with primary practice located at 1820 W 21St St , Clovis NM 88101-4024. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Clovis Surgery Center Llc can be contacted via phone (575) 762-2207, or through Kwan, Albert M via phone (575) 762-2207.

Contact Information

Primary practice address
1820 W 21St St Clovis NM 88101-4024
Phone: (575) 762-2207
Fax: (575) 762-7108
Website:
Map and Directions
Authorized official contact:
Name: Kwan, Albert M Doctor of Medicine (MD)
Phone: (575) 762-2207

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 3042 New Mexico

Profile Details

NPI number 1649251679
LBN Legal business name Clovis Surgery Center Llc
DBA Doing business as
Authorized official Kwan, Albert M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Apr 4th, 2016 - about 8 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 1649251679 NPPES
New Mexico MEDICAID 0000F8949
New Mexico Other 490005150

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