Encore Express Care | |
2301 N Mlk Blvd Clovis NM 88101-9401 | |
(505) 762-4455 | |
(505) 763-4029 |
Full Name | Encore Express Care |
---|---|
Speciality | Family Medicine |
Location | 2301 N Mlk Blvd, Clovis, New Mexico |
Authorized Official Name and Position | Amanda Shrader (OWNER) |
Authorized Official Contact | 5757624455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Encore Express Care 2301 N Mlk Blvd Clovis NM 88101-9401 Ph: (505) 762-4455 | Encore Express Care 2301 N Mlk Blvd Clovis NM 88101-9401 Ph: (505) 762-4455 |
NPI Number | 1356401830 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 01/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356401830 | NPI | - | NPPES |
62706501 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A112299 (New Mexico) | Primary |
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