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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 Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CLOVIS FAMILY HEALTH CARE

NPI Number 1265686778
LBN Legal business name CLOVIS FAMILY HEALTH CARE
Authorized official MONA JOHNSON - (DIRECTOR OF PERSONEL)
Entity Organization
Organization subpart 1 No
Enumeration date 11/11/2008
Last updated 11/11/2008 - About 18 years ago
Identifiers
NM License # R33747
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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