Interim Healthcare Of Portales is a medicare enrolled "Home Health" provider in Portales, New Mexico. Their current practice location is
1608 E Spruce St Ste 700, Portales, New Mexico. You can reach out to their office (for appointments etc.) via phone at
(575) 226-4663.
Interim Healthcare Of Portales is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Interim Healthcare Of Portales
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1528386513.
Healthcare Provider's Profile
| Full Name | Interim Healthcare Of Portales |
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| Type | Facility |
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| Speciality | Home Health |
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| Location | 1608 E Spruce St Ste 700, Portales, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528386513
- Provider Enumeration Date: 05/14/2010
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426022864
- Enrollment ID: O20101119000927
Medical Identifiers
Medical identifiers for Interim Healthcare Of Portales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528386513 | NPI | - | NPPES |
| 3341 | Other | NM | STATE OPERATOR LICENSE |
| 666071721 | Medicaid | NM | |
| 32D2036525 | Other | | CLIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
| 251J00000X | Nursing Care | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Interim Healthcare Of Portales is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Interim Healthcare Of Portales
3223 S Loop 289 Ste 210,
Lubbock, TX 79423-1352
Ph: (806) 771-0995 | Interim Healthcare Of Portales
1608 E Spruce St Ste 700,
Portales, NM 88130-9510
Ph: (575) 226-4663 |
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