Organization
UNION COUNTY MEDICAL CENTER INC
Active
Other names
Union County Medical Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI VAN WORMER (PRESIDENT)
(575) 374-8313
Entity
Organization
Contact information
Practice address
314 N. 3RD AVE, CLAYTON, NM 88415-0565
(575) 374-8313
(575) 374-2064
Mailing address
314 N. 3RD AVE, CLAYTON, NM 88415-0565
(575) 374-8313
(575) 374-2064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6239
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000005645
—
NM
05
—
000045785
—
NM
Enumeration date
04/27/2007
Last updated
07/01/2009
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