Ch Specialty Services Nm Llc | |
206 S Coronado Ave Espanola NM 87532-2792 | |
(337) 991-9276 | |
Not Available |
Full Name | Ch Specialty Services Nm Llc |
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Speciality | Internal Medicine |
Location | 206 S Coronado Ave, Espanola, New Mexico |
Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3379919276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ch Specialty Services Nm Llc 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 991-9276 | Ch Specialty Services Nm Llc 206 S Coronado Ave Espanola NM 87532-2792 Ph: (337) 991-9276 |
NPI Number | 1346943685 |
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Provider Enumeration Date | 03/24/2023 |
Last Update Date | 03/24/2023 |
Medicare PECOS PAC ID | 5496120883 |
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Medicare Enrollment ID | O20230418000479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346943685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nancy M Greces |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558384644 PECOS PAC ID: 2567364169 Enrollment ID: I20040123000639 |
Provider Name | Lisa S Noya |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619938677 PECOS PAC ID: 9133172000 Enrollment ID: I20050401000966 |
Provider Name | Diane H Cummings |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538149190 PECOS PAC ID: 6608875075 Enrollment ID: I20061212000536 |
Provider Name | Kenneth A Bell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003898842 PECOS PAC ID: 1052349065 Enrollment ID: I20070326000315 |
Provider Name | Stephanie D Flores |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083852271 PECOS PAC ID: 8820142334 Enrollment ID: I20090818000828 |
Provider Name | Tanya T Bryndzia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720064835 PECOS PAC ID: 9537121603 Enrollment ID: I20120120000604 |
Provider Name | Amy L Bubbico |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598927683 PECOS PAC ID: 4183869423 Enrollment ID: I20130314000396 |
Provider Name | Lilia M Pedrego |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770895054 PECOS PAC ID: 9830412824 Enrollment ID: I20141223002189 |
Provider Name | Amit Bhandari |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598929176 PECOS PAC ID: 3971773383 Enrollment ID: I20180201002254 |
Provider Name | Naveen Kumar Gummadi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558711606 PECOS PAC ID: 1355677386 Enrollment ID: I20190729000776 |
Provider Name | David Arturo Rodriguez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780038828 PECOS PAC ID: 3971897216 Enrollment ID: I20190910002490 |
Provider Name | Carmen Marcolina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730720632 PECOS PAC ID: 9739513417 Enrollment ID: I20200106002121 |
Provider Name | Kaleigh Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962007385 PECOS PAC ID: 1557774650 Enrollment ID: I20210111000829 |
Provider Name | Rozita Dayani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932706223 PECOS PAC ID: 2567875339 Enrollment ID: I20210115001764 |
Provider Name | Antonio Gamboa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154356780 PECOS PAC ID: 2264468222 Enrollment ID: I20210208000617 |
Provider Name | Katrina Olivas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609467182 PECOS PAC ID: 7517373723 Enrollment ID: I20210315000649 |
Provider Name | Shenif Ladak |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20210715002020 |
Provider Name | Jacqueline Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336629740 PECOS PAC ID: 8426392093 Enrollment ID: I20220331001974 |
Provider Name | Ashley Lauren Zurcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023573359 PECOS PAC ID: 4284968363 Enrollment ID: I20220516000097 |
Provider Name | Brian Cooper |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20230724003638 |
Provider Name | Ruth Seeley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240321002641 |
Provider Name | Bridget Nore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20240510000337 |
Provider Name | David Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922435759 PECOS PAC ID: 2365673464 Enrollment ID: I20240517001167 |
Provider Name | Chante Campbell-nixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20240614000163 |
Whole Self Recovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Pueblo Dr, Espanola, NM 87532 Phone: 506-747-3368 Fax: 505-367-0077 | |
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Valley First Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 S Santa Clara Bridge Rd, Espanola, NM 87532 Phone: 505-747-6939 Fax: 505-747-6816 | |
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