| Hms Cobre Health Clinic | |
|
1107 Tom Foy Blvd Bayard NM 88023-9793 | |
| (575) 534-5069 | |
| (575) 542-2388 |
| Full Name | Hms Cobre Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1107 Tom Foy Blvd, Bayard, New Mexico |
| Authorized Official Name and Position | Daniel Otero (CEO) |
| Authorized Official Contact | 5755422322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hms Cobre Health Clinic 530 De Moss St Lordsburg NM 88045-2618 Ph: (575) 542-2368 | Hms Cobre Health Clinic 1107 Tom Foy Blvd Bayard NM 88023-9793 Ph: (575) 534-5069 |
| NPI Number | 1073506911 |
|---|---|
| Provider Enumeration Date | 08/25/2005 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 4587572250 |
|---|---|
| Medicare Enrollment ID | O20030131000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073506911 | NPI | - | NPPES |
| 42074878 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QS1000X | Clinic/center - Student Health | 200740 (New Mexico) | Secondary |
Hms-bayard Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Tom Foy Blvd, Bayard, NM 88023 Phone: 575-537-5068 Fax: 575-542-2388 |