Desert Skies Family Practice Inc. | |
1101 9th St Ste B Alamogordo NM 88310-6432 | |
(575) 437-1113 | |
(575) 437-1777 |
Full Name | Desert Skies Family Practice Inc. |
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Speciality | Clinic/center |
Location | 1101 9th St Ste B, Alamogordo, New Mexico |
Authorized Official Name and Position | Ilana Cornelius (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 5754371113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Desert Skies Family Practice Inc. 1101 9th St Ste B Alamogordo NM 88310-6432 Ph: (575) 437-1113 | Desert Skies Family Practice Inc. 1101 9th St Ste B Alamogordo NM 88310-6432 Ph: (575) 437-1113 |
NPI Number | 1003192956 |
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Provider Enumeration Date | 10/24/2011 |
Last Update Date | 03/26/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003192956 | NPI | - | NPPES |
1427011881 | Other | NPI TYPE I | |
89009851 | Medicaid | NM | |
NM AAA2448 | Other | NM | MEDICARE # I RECEIVED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | R21461 (New Mexico) | Primary |
Simplicity Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Forsyth Road, Alamogordo, NM 88310 Phone: 575-405-9453 | |
Alamogordo Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Aspen Drive, Alamogordo, NM 88310 Phone: 505-437-7000 Fax: 505-434-6288 | |
Family Practice Of Alamogordo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 Cuba Ave, Suite 4, Alamogordo, NM 88310 Phone: 575-443-6262 | |
Chandi Bankston, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 12th St, Alamogordo, NM 88310 Phone: 505-437-5716 Fax: 505-437-5733 | |
Advancednp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 9th St, Alamogordo, NM 88310 Phone: 575-446-5333 | |
Michael S Mishkin Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 12th St, Alamogordo, NM 88310 Phone: 575-437-5716 |