| Southwest Trauma Solutions Llc | |
|
204a W Market St Silver City NM 88061-5370 | |
| (575) 654-0812 | |
| Not Available |
| Full Name | Southwest Trauma Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 204a W Market St, Silver City, New Mexico |
| Authorized Official Name and Position | Paul Eric Galbraith (SOLE MGR) |
| Authorized Official Contact | 5756540812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Trauma Solutions Llc 204a W Market St Silver City NM 88061-5370 Ph: (575) 654-0812 | Southwest Trauma Solutions Llc 204a W Market St Silver City NM 88061-5370 Ph: (575) 654-0812 |
| NPI Number | 1912233420 |
|---|---|
| Provider Enumeration Date | 10/19/2009 |
| Last Update Date | 01/06/2010 |
| Medicare PECOS PAC ID | 8527193739 |
|---|---|
| Medicare Enrollment ID | O20100312000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912233420 | NPI | - | NPPES |
| 28077059 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-06657 (New Mexico) | Primary |
| Provider Name | Paul E Galbraith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447373881 PECOS PAC ID: 6901931112 Enrollment ID: I20100312000654 |
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