MICHAEL P. CLEMENTS MD; NPI #1487290623

Contact Information

MICHAEL P. CLEMENTS MD

1096 MECHEM DR STE G05
RUIDOSO, NM 88345-7057

Phone: 575-973-5864
Fax: 575-258-2648
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Geriatric Medicine	207QG0300X	08	Physician/Family Practice
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for MICHAEL P. CLEMENTS MD

NPI # 1487290623

LBN Legal business name MICHAEL P. CLEMENTS MD

Authorized official MICHAEL CLEMENTS - (SOLE PROPRIETOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/22/2019

Last updated 12/10/2019 - About 6 years ago

Identifiers

NM	Medicaid	67601081
NM	Medicaid	Q0066

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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