<unavail> in Fort Sumner, NM - Medicare Clinic/Center

- Medicare Primary Care in Fort Sumner, NM

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Fort Sumner, New Mexico. The current practice location for is 1001 Sumner Ave, Fort Sumner, New Mexico. For appointments, you can reach them via phone at (575) 355-4431. The mailing address for is Po Box 349, Fort Sumner, New Mexico and phone number is (575) 355-2414.

is licensed to practice in New Mexico (license number 3069). The clinic also participates in the medicare program and its NPI number is 1699082644. 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 (575) 355-4431.

Contact Information


	1001 Sumner Ave Fort Sumner NM 88119-0349
	(575) 355-4431
	(575) 355-4432

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1001 Sumner Ave, Fort Sumner, New Mexico
Authorized Official Name and Position	Lisa Walraven (CEO)
Authorized Official Contact	5753552420
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 349 Fort Sumner NM 88119-0349 Ph: (575) 355-2414	1001 Sumner Ave Fort Sumner NM 88119-0349 Ph: (575) 355-4431

NPI Details:

NPI Number	1699082644
Provider Enumeration Date	09/10/2010
Last Update Date	01/22/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	6406758358
Medicare Enrollment ID	O20180212002394

Medical Identifiers

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

Identifier	Type	State	Issuer
1699082644	NPI	-	NPPES
38003384	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	3069 (New Mexico)	Primary

Reviews and Comments

Clinic/Center in Fort Sumner, NM

De Baca Family Practice Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 546 N. Tenth St, Fort Sumner, NM 88119 Phone: 505-355-2414
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 546 N 10th Street, Fort Sumner, NM 88119 Phone: 575-355-2414 Fax: 575-355-7894