| Eastern New Mexico Medical Center | |
|
405 W Country Club Rd Roswell NM 88201-5209 | |
| (575) 624-4777 | |
| (575) 624-8711 |
| Full Name | Eastern New Mexico Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 405 W Country Club Rd, Roswell, New Mexico |
| Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR, ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern New Mexico Medical Center 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7000 | Eastern New Mexico Medical Center 405 W Country Club Rd Roswell NM 88201-5209 Ph: (575) 624-4777 |
| NPI Number | 1427001759 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1850204207 |
|---|---|
| Medicare Enrollment ID | O20031111000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427001759 | NPI | - | NPPES |
| 75964 | Medicaid | NM | |
| NM007800 | Other | NM | BCBS |
| S5216 | Medicaid | NM |
| Provider Name | Samuel Itie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952794687 PECOS PAC ID: 4688951544 Enrollment ID: I20221027003215 |
Donald J Willis D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 9, Roswell, NM 88201 Phone: 575-624-2095 Fax: 575-627-5721 | |
Southern New Mexico Medical Association, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W. Country Club Rd, Roswell, NM 88201 Phone: 505-623-1442 Fax: 505-623-3835 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 Fax: 629-216-0568 | |
Roswell Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Hobbs St, Roswell, NM 88203 Phone: 575-623-5263 | |
Roswell Osteopathic Medical Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 W. Hobbs St., Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273 | |
Lovelace Health System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 S Union Ave, Roswell, NM 88203 Phone: 575-208-0106 | |
Eye Catchers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E College Blvd, Roswell, NM 88201 Phone: 575-625-9800 Fax: 575-624-1724 |