institution
Surgery Center Of Eastern New Mexico Llc
Ambulatory Surgical Clinic/Center in Clovis, New Mexico
NPI 1639121759

Surgery Center Of Eastern New Mexico Llc is an Ambulatory Surgical Clinic/Center based in Clovis, NM and is specialized in Ambulatory Surgical. Surgery Center Of Eastern New Mexico Llc practices in Clovis, NM. The NPI Number for Surgery Center Of Eastern New Mexico Llc is 1639121759 and holds a License No. (New Mexico).

The current practice location address for Surgery Center Of Eastern New Mexico Llc is 2421 W 21St St, Clovis, NM and can be reached out via phone at 505-763-8800 and via fax at 505-763-2630.

Location: 2421 W 21St St, Clovis, NM, 88101-2006
institution
Provider Profile Details
NPI Number
1639121759
Provider Name
Surgery Center Of Eastern New Mexico Llc
Credential
Provider Entity Type
Organization
Address
2421 W 21St St, Clovis, NM, 88101-2006
Phone Number
505-763-8800
Fax Number
505-763-2630
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00382865 01 NM RAILROAD MEDICARE
3239 01 NM STATE NUMBER
88524728 05 NM
NM00SS94 01 NM BCBSNM
institution
Provider Business Practice Location Address Details
Address
2421 W 21St St
City
State
Zip
88101-2006
Phone Number
505-763-8800
Fax Number
505-763-2630
person
Provider Business Mailing Address Details
Address
2421 W 21St St
City
State
Zip
88101-2006
Phone Number
505-763-8800
Fax Number
505-763-2630
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
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Definition
Definition to come...
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