<unavail> in Grants, NM - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Grants, New Mexico. The current practice location for is 1423 E Roosevelt Ave, Grants, New Mexico. For appointments, you can reach them via phone at (505) 287-6500. The mailing address for is 1423 E Roosevelt Ave, Grants, New Mexico and phone number is (505) 287-6500.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457675266. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 287-6500.

Contact Information


	1423 E Roosevelt Ave Grants NM 87020-2245
	(505) 287-6500
	(505) 287-5393

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1423 E Roosevelt Ave, Grants, New Mexico
Authorized Official Name and Position	Donna Rojas (CREDENTIALING SPECIALIST)
Authorized Official Contact	5052875202
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1423 E Roosevelt Ave Grants NM 87020-2245 Ph: (505) 287-6500	1423 E Roosevelt Ave Grants NM 87020-2245 Ph: (505) 287-6500

NPI Details:

NPI Number	1457675266
Provider Enumeration Date	03/23/2010
Last Update Date	08/18/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	7113935891
Medicare Enrollment ID	O20190429002509

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457675266	NPI	-	NPPES
323409	Other	NM	MEDICARE PTAN
63306514	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
208600000X	Surgery	(* (Not Available))	Secondary
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Grants, NM

Arnold W. Valdivia, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 Bonita St, Grants, NM 87020 Phone: 505-287-4474 Fax: 505-287-8775
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2958 Fax: 505-287-2403
Pms/wnmmg Grants Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2950

- Medicare Primary Care in Grants, NM