# SURGERY CENTER OF EASTERN NEW MEXICO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639121759
- **Authorized official:** MS. CASEY MCFARLAND (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (505) 763-2609

## Contact information

- **Practice address:** 2421 W 21ST ST, CLOVIS, NM 88101-2006
- **Practice address phone:** (505) 763-8800
- **Practice address fax:** (505) 763-2630
- **Mailing address:** 2421 W 21ST ST, CLOVIS, NM 88101-2006
- **Mailing address phone:** (505) 763-8800
- **Mailing address fax:** (505) 763-2630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 03/05/2008