| Raton Family Medicine, Llc | |
|
190 Hospital Dr Raton NM 87740-2002 | |
| (575) 445-5563 | |
| (505) 445-0285 |
| Full Name | Raton Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 190 Hospital Dr, Raton, New Mexico |
| Authorized Official Name and Position | Melony Avila (OFFICE MANAGER) |
| Authorized Official Contact | 5054008529 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raton Family Medicine, Llc 190 Hospital Dr Raton NM 87740-2002 Ph: (575) 445-5563 | Raton Family Medicine, Llc 190 Hospital Dr Raton NM 87740-2002 Ph: (575) 445-5563 |
| NPI Number | 1497479216 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 8527436831 |
|---|---|
| Medicare Enrollment ID | O20221117001416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497479216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801163639 PECOS PAC ID: 7416191655 Enrollment ID: I20130910000429 |
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