CHEVANNES CLINIC SOLUTIONS, LLC; NPI #1013737261

Contact Information

CHEVANNES CLINIC SOLUTIONS, LLC

817 W BROADWAY STE A
FARMINGTON, NM 87401-5699

Phone: 505-258-4867
Fax: 505-398-8748
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for CHEVANNES CLINIC SOLUTIONS, LLC

NPI # 1013737261

LBN Legal business name CHEVANNES CLINIC SOLUTIONS, LLC

Authorized official ANGELLA CLARKE - (NURSE PRACTITIONER/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/14/2024

Last updated 10/30/2024 - More than a year ago

Identifiers

NM	Medicaid	12870277
NM	Other	1851839740	NPI

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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CHEVANNES CLINIC SOLUTIONS, LLC

Contact Information

Specialty

Family

Family Medicine

NPI Profile & details for CHEVANNES CLINIC SOLUTIONS, LLC

Reviews for CHEVANNES CLINIC SOLUTIONS, LLC