Mimbres Health Maintenance Associates P C
LBN: Mimbres Health Maintenance Associates P C
Mimbres Health Maintenance Associates P C is an health care organization with primary practice located at 850 W Florida St , Deming NM 88030-4558. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mimbres Health Maintenance Associates P C can be contacted via phone (505) 544-2800, or through Lafon, George via phone (505) 544-2800.
Contact Information
Primary practice address
850 W Florida St
Deming NM 88030-4558
Phone: (505) 544-2800
Fax: (505) 544-2801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 81-71 | New Mexico |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 2003-0634 | New Mexico |
Profile Details
| NPI number | 1063428431 |
|---|---|
| LBN Legal business name | Mimbres Health Maintenance Associates P C |
| DBA Doing business as | |
| Authorized official | Lafon, George Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Aug 27th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063428431 | NPPES |
| New Mexico | MEDICAID | 26393 | |
| New Mexico | MEDICAID | 47426781 | |
| New Mexico | MEDICAID | 48702 |
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