RUSTIC HEALTH PRIMARY CARE LLC; NPI #1144165788

Contact Information

RUSTIC HEALTH PRIMARY CARE LLC

1301 CUBA AVE
ALAMOGORDO, NM 88310-5727

Phone: 575-489-8993
Fax: 575-205-0274
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	363LP2300X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for RUSTIC HEALTH PRIMARY CARE LLC

NPI #	`1144165788`
LBN Legal business name	RUSTIC HEALTH PRIMARY CARE LLC
Authorized official	DAVID DONAVAN - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/21/2026
Last updated	04/21/2026 - About 1 months ago
Identifiers	n/a

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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RUSTIC HEALTH PRIMARY CARE LLC

Contact Information

Specialty

Primary Care

NPI Profile & details for RUSTIC HEALTH PRIMARY CARE LLC

Reviews for RUSTIC HEALTH PRIMARY CARE LLC