Organization
SURGERY CENTER OF EASTERN NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASEY MCFARLAND (AUTHORIZED OFFICIAL)
(505) 763-2609
Entity
Organization
Contact information
Practice address
2421 W 21ST ST, CLOVIS, NM 88101-2006
(505) 763-8800
(505) 763-2630
Mailing address
2421 W 21ST ST, CLOVIS, NM 88101-2006
(505) 763-8800
(505) 763-2630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3239
STATE NUMBER
NM
05
—
88524728
—
NM
01
—
NM00SS94
BCBSNM
NM
01
—
P00382865
RAILROAD MEDICARE
NM
Enumeration date
05/17/2006
Last updated
03/05/2008
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