Eunice Health Clinic | |
1109 Main St Eunice NM 88231-0239 | |
(575) 394-1091 | |
(575) 394-0215 |
Full Name | Eunice Health Clinic |
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Speciality | Clinic/Center |
Location | 1109 Main St, Eunice, New Mexico |
Authorized Official Name and Position | Erin Paschal (INTERMIN MANAGER) |
Authorized Official Contact | 5753941091 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eunice Health Clinic 1109 Main Po Box 239 Eunice NM 88231-0239 Ph: (575) 394-1091 | Eunice Health Clinic 1109 Main St Eunice NM 88231-0239 Ph: (575) 394-1091 |
NPI Number | 1689724627 |
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Provider Enumeration Date | 01/11/2007 |
Last Update Date | 06/22/2023 |
Medicare PECOS PAC ID | 4082667654 |
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Medicare Enrollment ID | O20050223000374 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689724627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 3198 (New Mexico) | Primary |
Provider Name | Brian C Henning |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144275637 PECOS PAC ID: 8729032800 Enrollment ID: I20050311000000 |
Provider Name | Candida Ladawn Coburn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891139259 PECOS PAC ID: 3375783673 Enrollment ID: I20131112001702 |
Provider Name | Carrie Nichole Blevins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801172150 PECOS PAC ID: 4880996941 Enrollment ID: I20160106000819 |