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Organization
VIA CHRISTI MEDICAL CLINIC, INC.
Active
Organization
VIA CHRISTI MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY KYLE SHEETS M.D. (CLINIC ADMINISTRATOR)
(575) 742-2500
Entity
Organization
Contact information
Practice address
100 E MANANA BLVD, UNIT 1, CLOVIS, NM 88101-3503
(575) 742-2500
(575) 742-9878
Mailing address
PO BOX 520, CLOVIS, NM 88102-0520
(575) 742-2500
(575) 742-9878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001-306
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80739237
—
NM
01
—
P00119862
RAILROAD MEDICARE PIN
NM
Enumeration date
05/17/2006
Last updated
11/12/2008
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