| Roswell Infusions Llc | |
|
313 W Country Club Rd Ste 9 Roswell NM 88201-5804 | |
| (575) 347-1883 | |
| Not Available |
| Full Name | Roswell Infusions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 313 W Country Club Rd Ste 9, Roswell, New Mexico |
| Authorized Official Name and Position | Preston King (DIRECTOR) |
| Authorized Official Contact | 5734291313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Infusions Llc Po Box 102 Roswell NM 88202-0102 Ph: (575) 347-1883 | Roswell Infusions Llc 313 W Country Club Rd Ste 9 Roswell NM 88201-5804 Ph: (575) 347-1883 |
| NPI Number | 1174231484 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 1850761099 |
|---|---|
| Medicare Enrollment ID | O20230103002834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174231484 | NPI | - | NPPES |
| Provider Name | Preston N King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871160580 PECOS PAC ID: 6800286097 Enrollment ID: I20211202000086 |
| Provider Name | Laura Rose King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942872999 PECOS PAC ID: 9931583267 Enrollment ID: I20220905000426 |
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