CLOVIS SURGERY CENTER LLC
Surgery Yellow Pages
Clovis, New Mexico
Provider NPI: 1649251679
Organization Information:Organization Name: CLOVIS SURGERY CENTER LLC
Practice Location:
1820 W 21ST ST CLOVIS, NM 88101 US
Tel: 575-762-2207 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1820 W 21ST ST CLOVIS, NM 88101 US
Tel: 575-762-2207 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | NM | 3042 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0000F8949 | NM | 05 | |
RAILROAD MEDICARE | 490005150 | NM | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin