| Northwest Medical Center Inc. | |
|
6463 4th St Nw Los Ranchos NM 87107-5810 | |
| (505) 345-3572 | |
| Not Available |
| Full Name | Northwest Medical Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6463 4th St Nw, Los Ranchos, New Mexico |
| Authorized Official Name and Position | Don W. Hedges (PRESIDENT) |
| Authorized Official Contact | 5053453572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Medical Center Inc. 6463 4th St Nw Los Ranchos NM 87107-5810 Ph: (505) 345-3572 | Northwest Medical Center Inc. 6463 4th St Nw Los Ranchos NM 87107-5810 Ph: (505) 345-3572 |
| NPI Number | 1376891762 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Medicare PECOS PAC ID | 3779731823 |
|---|---|
| Medicare Enrollment ID | O20120913000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376891762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A62474 (New Mexico) | Primary |
| Provider Name | Don W Hedges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386803864 PECOS PAC ID: 0345498432 Enrollment ID: I20120914000254 |
Soar Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6855 4th St Nw Ste B2, Los Ranchos, NM 87107 Phone: 505-398-9430 Fax: 505-832-8516 | |
Higher Health And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7103 4th St Nw Ste C, Los Ranchos, NM 87107 Phone: 505-697-7113 | |
Kidsbridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 Bledsoe Rd Nw, Los Ranchos, NM 87107 Phone: 505-908-0717 Fax: 505-344-5553 |