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351 Francis Avenue Des Moines NM 88418 | |
(575) 278-2619 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 351 Francis Avenue, Des Moines, New Mexico |
Authorized Official Name and Position | Tammie Chavez (CEO) |
Authorized Official Contact | 5753472585 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 Wilson St Clayton NM 88415-3304 Ph: () - | 351 Francis Avenue Des Moines NM 88418 Ph: (575) 278-2619 |
NPI Number | 1851861587 |
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Provider Enumeration Date | 11/26/2018 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 0941195895 |
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Medicare Enrollment ID | O20200218002170 |
Identifier | Type | State | Issuer |
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1851861587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |