# CLOVIS FAMILY URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clovis Family Urgent Care, Portales Family Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275239733
- **Authorized official:** BLAKE O'HARE (OWNER)
- **Authorized official phone:** (575) 762-4455

## Contact information

- **Practice address:** 2301 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9401
- **Practice address phone:** (575) 760-1365
- **Mailing address:** 2301 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9401
- **Mailing address phone:** (575) 760-1365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 09/16/2025
