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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