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800 N Jefferson St Bldg Shch Hobbs NM 88240 | |
| (575) 433-3030 | |
| (575) 433-3031 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 800 N Jefferson St Bldg Shch, Hobbs, New Mexico |
| Authorized Official Name and Position | David B Shaw (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 5753966611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1600 North Main Credentialing Department Lovington NM 88260 Ph: (575) 396-6611 | 800 N Jefferson St Bldg Shch Hobbs NM 88240 Ph: (575) 433-3030 |
| NPI Number | 1366930380 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366930380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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