| Rgh Internal Medicine Group | |
|
42121 Us Hwy 70 Portales NM 88130-9347 | |
| (575) 359-1800 | |
| (575) 356-9200 |
| Full Name | Rgh Internal Medicine Group |
|---|---|
| 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 |
|---|---|
| Rgh Internal Medicine Group 42121 Us Hwy 70 Portales NM 88130-0299 Ph: (575) 359-1800 | Rgh Internal Medicine Group 42121 Us Hwy 70 Portales NM 88130-9347 Ph: (575) 359-1800 |
| NPI Number | 1316013402 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 4082526660 |
|---|---|
| Medicare Enrollment ID | O20071010000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316013402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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