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12 Bia 120 Po Box 310 Pine Hill NM 87357-0310 | |
(505) 775-3271 | |
(505) 775-3233 |
Full Name | |
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Speciality | Clinic/Center |
Location | 12 Bia 120, Pine Hill, New Mexico |
Authorized Official Name and Position | William Becker (CHIEF HEALTH ADMINISTRATOR) |
Authorized Official Contact | 5057753271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 310 Pine Hill NM 87357-0310 Ph: (505) 775-3271 | 12 Bia 120 Po Box 310 Pine Hill NM 87357-0310 Ph: (505) 775-3271 |
NPI Number | 1619001849 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 09/27/2017 |
Medicare PECOS PAC ID | 1153332150 |
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Medicare Enrollment ID | O20060505000037 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619001849 | NPI | - | NPPES |
00055587 | Medicaid | NM | |
R0829 | Medicaid | NM |
Provider Name | Katheryne A Barron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376884759 PECOS PAC ID: 1052557956 Enrollment ID: I20161202000612 |
Provider Name | Robert E Curtis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033213467 PECOS PAC ID: 7214971670 Enrollment ID: I20170818002815 |
Provider Name | Christine Thomas Roper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992194021 PECOS PAC ID: 2769700624 Enrollment ID: I20230503002639 |
Provider Name | Jennifer Schafer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245726447 PECOS PAC ID: 4587912670 Enrollment ID: I20230815003593 |
Provider Name | Ramon Schafer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720515828 PECOS PAC ID: 8729419502 Enrollment ID: I20230907003732 |