| Union County Medical Center Inc | |
|
314 N. 3rd Ave Clayton NM 88415-0565 | |
| (575) 374-8313 | |
| (575) 374-2064 |
| Full Name | Union County Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 314 N. 3rd Ave, Clayton, New Mexico |
| Authorized Official Name and Position | Lori Van Wormer (PRESIDENT) |
| Authorized Official Contact | 5753748313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union County Medical Center Inc 314 N. 3rd Ave Clayton NM 88415-0565 Ph: (575) 374-8313 | Union County Medical Center Inc 314 N. 3rd Ave Clayton NM 88415-0565 Ph: (575) 374-8313 |
| NPI Number | 1093935355 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 07/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093935355 | NPI | - | NPPES |
| 000005645 | Medicaid | NM | |
| 000045785 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6239 (New Mexico) | Primary |
Union County Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 N 3rd Ave, Clayton, NM 88415 Phone: 575-374-2273 Fax: 575-374-0903 | |
Clayton Health Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 N 3rd Ave, Clayton, NM 88415 Phone: 505-374-2273 Fax: 505-374-0903 |