Country Medical Services, Llc

LBN: Country Medical Services, Llc
Country Medical Services, Llc is an health care organization with primary practice located at Nm State Highway 120, #1252 (Fyi Rural Address) Pob 203, Ocate NM 87734-0203. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family Health, which is considered as the primary health care specialty. Country Medical Services, Llc can be contacted via phone (575) 666-2475, or through Lewis, Diana Louise via phone (575) 666-2475.

Contact Information

Primary practice address
Nm State Highway 120, #1252 (Fyi Rural Address) Pob 203 Ocate NM 87734-0203
Phone: (575) 666-2475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Diana Louise NP-C
Phone: (575) 666-2475

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X R24775 New Mexico

Profile Details

NPI number 1972758688
LBN Legal business name Country Medical Services, Llc
DBA Doing business as
Authorized official Lewis, Diana Louise NP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2008
Last updated Oct 22nd, 2011 - 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 1972758688 NPPES
New Mexico MEDICAID 22002570

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