| Spin | |
|
1307 N Swan St Silver City NM 88061-6529 | |
| (575) 569-6131 | |
| (575) 956-6947 |
| Full Name | Spin |
|---|---|
| Speciality | Social Worker |
| Location | 1307 N Swan St, Silver City, New Mexico |
| Authorized Official Name and Position | Christina Ann Wolford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5754941129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spin Po Box 325 Silver City NM 88062-0325 Ph: (575) 494-1128 | Spin 1307 N Swan St Silver City NM 88061-6529 Ph: (575) 569-6131 |
| NPI Number | 1316422256 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 05/06/2020 |
| Certification Date | 05/06/2020 |
| Medicare PECOS PAC ID | 4981943230 |
|---|---|
| Medicare Enrollment ID | O20190304001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316422256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Christina A Wolford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023536521 PECOS PAC ID: 0840539193 Enrollment ID: I20190304001633 |
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