SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC
Surgery Yellow Pages
Roswell, New Mexico
Provider NPI: 1073594446
Organization Information:Organization Name: SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC
Practice Location:
113 E 19TH ST ROSWELL, NM 88201 US
Tel: 505-627-7000 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:
113 E 19TH ST ROSWELL, NM 88201 US
Tel: 505-627-7000 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 | 6786 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
74469 | NM | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin