Elite Medical Llc | |
1700 N Union Ave Roswell NM 88201-3267 | |
(575) 623-1303 | |
(575) 622-1903 |
Full Name | Elite Medical Llc |
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Speciality | Family Medicine |
Location | 1700 N Union Ave, Roswell, New Mexico |
Authorized Official Name and Position | Barnie P Rodriguez (OWNER) |
Authorized Official Contact | 5756231303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elite Medical Llc Po Box 1974 Roswell NM 88202-1974 Ph: (575) 623-1303 | Elite Medical Llc 1700 N Union Ave Roswell NM 88201-3267 Ph: (575) 623-1303 |
NPI Number | 1386993764 |
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Provider Enumeration Date | 08/31/2012 |
Last Update Date | 10/24/2019 |
Medicare PECOS PAC ID | 6103071428 |
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Medicare Enrollment ID | O20130312000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386993764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 93-PA21 (New Mexico) | Primary |
Provider Name | Joel W Sievers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538103197 PECOS PAC ID: 8123929387 Enrollment ID: I20040120000345 |
Provider Name | Kelly M Obrien |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629701776 PECOS PAC ID: 8527435767 Enrollment ID: I20221101002435 |
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 |