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Contact Information

SOUTHWEST FAMILY PRACTICE, PC
304 N. LOCKE AVE.
FARMINGTON
FARMINGTON, NM87401
 Phone: 505-324-1100
 Fax: 505-324-1117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SOUTHWEST FAMILY PRACTICE, PC

NPI # 1215025390
LBN Legal business name SOUTHWEST FAMILY PRACTICE, PC
Authorized official MARGARET CASSIDY - (PRESIDENT/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2006
Last updated 07/01/2025 - About 11 months ago
Identifiers
NM License # 97-202
NM Medicaid R7312
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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