Full Name | |
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Speciality | Family Medicine |
Location | 1167a Hwy 554, El Rito, New Mexico |
Authorized Official Name and Position | Tamara Alynn Singleton (OWNER/DOCTOR) |
Authorized Official Contact | 5755810033 |
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 805 El Rito NM 87530-0805 Ph: (575) 581-0033 | 1167a Hwy 554 El Rito NM 87530 Ph: (575) 581-0033 |
NPI Number | 1669760344 |
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Provider Enumeration Date | 07/15/2011 |
Last Update Date | 10/08/2019 |
Medicare PECOS PAC ID | 5890026033 |
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Medicare Enrollment ID | O20191018002122 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669760344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tamara A Singleton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881779304 PECOS PAC ID: 6305926288 Enrollment ID: I20080104000215 |