| Carrie L Hinds Llc | |
|
309 N Cheyenne Ave Silver City NM 88061-3725 | |
| (970) 270-2851 | |
| (970) 628-4991 |
| Full Name | Carrie L Hinds Llc |
|---|---|
| Speciality | Social Worker |
| Location | 309 N Cheyenne Ave, Silver City, New Mexico |
| Authorized Official Name and Position | Carrie L Hinds (OWNER) |
| Authorized Official Contact | 9702702851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie L Hinds Llc Po Box 453 Silver City NM 88062-0453 Ph: (970) 270-2851 | Carrie L Hinds Llc 309 N Cheyenne Ave Silver City NM 88061-3725 Ph: (970) 270-2851 |
| NPI Number | 1033695788 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 05/31/2020 |
| Certification Date | 05/31/2020 |
| Medicare PECOS PAC ID | 7113275496 |
|---|---|
| Medicare Enrollment ID | O20180802001291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033695788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW.00000606 (Colorado) | Primary |
| Provider Name | Carrie L Hinds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306262480 PECOS PAC ID: 8527345719 Enrollment ID: I20170425001542 |
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