Organization
CLAYTON HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE CHAVEZ (CEO)
(575) 347-2585
Entity
Organization
Contact information
Practice address
314 N 3RD AVE, CLAYTON, NM 88415-3302
(505) 374-2273
(505) 374-0903
Mailing address
PO BOX 489, CLAYTON, NM 88415-0489
(505) 374-2585
(505) 374-0903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QC0050X
Critical Access Hospital Clinic/Center
Primary
3060
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201040774
PRESBYTERIAN CLINIC
NM
05
—
K5719
—
NM
01
—
NM009F48
BC CLINIC
NM
Enumeration date
10/18/2006
Last updated
09/23/2024
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