| |
815 W 14th St Clovis NM 88101-5514 | |
(505) 762-6492 | |
(505) 769-8236 |
Full Name | |
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Speciality | General Practice |
Location | 815 W 14th St, Clovis, New Mexico |
Authorized Official Name and Position | Ali M Ghaffari (MEDICAL DIRECTOR) |
Authorized Official Contact | 5057626492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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815 W 14th St Clovis NM 88101-5514 Ph: (505) 762-6492 | 815 W 14th St Clovis NM 88101-5514 Ph: (505) 762-6492 |
NPI Number | 1548472830 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 10/26/2016 |
Medicare PECOS PAC ID | 7618935206 |
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Medicare Enrollment ID | O20041229000549 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548472830 | NPI | - | NPPES |
S2511 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Ali M Ghaffari |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1881647352 PECOS PAC ID: 9335107952 Enrollment ID: I20051208000933 |
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