Eastern New Mexico Physicians And Surgeons Llc

LBN: Eastern New Mexico Physicians And Surgeons Llc
Eastern New Mexico Physicians And Surgeons Llc is an health care organization with primary practice located at 2425 W 21St Street , Clovis NM 88101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Eastern New Mexico Physicians And Surgeons Llc can be contacted via phone (505) 763-9800, or through Ray, Lonnie J via phone (505) 763-9800.

Contact Information

Primary practice address
2425 W 21St Street Clovis NM 88101
Phone: (505) 763-9800
Fax: (505) 769-1998
Website:
Map and Directions
Authorized official contact:
Name: Ray, Lonnie J
Phone: (505) 763-9800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1114977675
LBN Legal business name Eastern New Mexico Physicians And Surgeons Llc
DBA Doing business as
Authorized official Ray, Lonnie J
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated May 12th, 2008 - about 16 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 1114977675 NPPES
New Mexico MEDICAID 78904374
New Mexico Other 00NM001B06
New Mexico Other 03-07242-6000
New Mexico Other DF1773

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