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42121 Us Hwy 70 Portales NM 88130-9347 | |
(575) 359-1800 | |
(575) 356-9200 |
Full Name | |
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Speciality | Clinic/Center |
Location | 42121 Us Hwy 70, Portales, New Mexico |
Authorized Official Name and Position | Lorence Learning (CEO) |
Authorized Official Contact | 5753563412 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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42121 Us Hwy 70 Portales NM 88130-0299 Ph: (575) 359-1800 | 42121 Us Hwy 70 Portales NM 88130-9347 Ph: (575) 359-1800 |
NPI Number | 1316013402 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/10/2015 |
Medicare PECOS PAC ID | 4082526660 |
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Medicare Enrollment ID | O20071010000409 |
Identifier | Type | State | Issuer |
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1316013402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Eastern Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Sievers Sports Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 S Main Ave, Portales, NM 88130 Phone: 575-226-3023 Fax: 575-226-3024 | |
Portales Medical Clinic Limited Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Avenue A, Portales, NM 88130 Phone: 505-356-4643 Fax: 505-359-6856 | |