National Provider Identifier Database

CLOVIS FAMILY HEALTH CARE
Family


Contact Information

CLOVIS FAMILY HEALTH CARE
2301 N MLK BLVD
CLOVIS, NM88101-9401
Phone: 575-762-4455
Fax: 575-762-8411
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CLOVIS FAMILY HEALTH CARE

NPI Number 1265686778
Legal business name
LBN
CLOVIS FAMILY HEALTH CARE
Authorized official MONA JOHNSON - (DIRECTOR OF PERSONEL)
Entity Organization
Organization subpart No
Enumeration date 11/11/2008
Last updated 11/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: R33747

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CLOVIS FAMILY HEALTH CARE

There are currently no reviews for CLOVIS FAMILY HEALTH CARE


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