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1007 N Pope St Silver City NM 88061-5161 | |
(575) 388-1511 | |
(575) 542-2388 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1007 N Pope St, Silver City, 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 |
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530 De Moss St Lordsburg NM 88045-2618 Ph: (575) 542-2368 | 1007 N Pope St Silver City NM 88061-5161 Ph: (575) 388-1511 |
NPI Number | 1063759330 |
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Provider Enumeration Date | 01/07/2013 |
Last Update Date | 03/04/2016 |
Medicare PECOS PAC ID | 4587572250 |
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Medicare Enrollment ID | O20130603000006 |
Identifier | Type | State | Issuer |
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1063759330 | NPI | - | NPPES |
59073268 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 3431 (New Mexico) | Primary |
Southwest Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 E 32nd St, Fl 1, Silver City, NM 88061 Phone: 505-388-5170 Fax: 505-388-5176 | |
Zia Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 N Pope St, Silver City, NM 88061 Phone: 575-534-4299 Fax: 575-538-5651 | |