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Organization

CLAYTON HEALTH SYSTEMS INC

Active
Other names
UNION COUNTY GENERAL HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMIE CHAVEZ (CEO)
(575) 374-2585
Entity
Organization

Contact information

Practice address
300 WILSON STREET, CLAYTON, NM 88415-0489
(575) 374-2585
(575) 374-8146
Mailing address
PO BOX 489, 300 WILSON STREET, CLAYTON, NM 88415-0489
(575) 374-2585
(575) 374-8146

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
3060
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0080
BLUE CROSS BLUE SHIELD #
NM
01
201079753
PRESBYTERIAN
NM
05
B2253
NM
05
K5719
NM
05
M1715
NM
Enumeration date
05/27/2005
Last updated
09/17/2024
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