Organization
LAS ANIMAS EMERGENCY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CLIFF SCHUMACHER M.D. (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18926258
—
CO
Enumeration date
12/16/2005
Last updated
01/18/2008
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