| Michael P. Clements Md | |
|
1096 Mechem Dr Ste G05 Ruidoso NM 88345-7057 | |
| (575) 973-5864 | |
| (575) 258-2648 |
| Full Name | Michael P. Clements Md |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1096 Mechem Dr Ste G05, Ruidoso, New Mexico |
| Authorized Official Name and Position | Michael P Clements (SOLE PROPRIETOR) |
| Authorized Official Contact | 5759735864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P. Clements Md 1096 Mechem Dr Ste G05 Ruidoso NM 88345-7057 Ph: (575) 973-5864 | Michael P. Clements Md 1096 Mechem Dr Ste G05 Ruidoso NM 88345-7057 Ph: (575) 973-5864 |
| NPI Number | 1487290623 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487290623 | NPI | - | NPPES |
| Q0066 | Medicaid | NM | |
| 67601081 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
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Lincoln County Family Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-7712 Fax: 575-257-4513 | |
Atrinea Ruidoso Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-338-3851 Fax: 505-338-3859 | |
Health Care Solutions Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 208 Porr Dr, Ruidoso, NM 88345 Phone: 575-630-1214 Fax: 575-630-2083 | |
Tall Pines Medical Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 714 Mechem Dr, Ruidoso, NM 88345 Phone: 575-257-4061 Fax: 575-257-4445 | |
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