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GEORGE H PEACOCK MD PC NPI 1417263534


NPI Information

NPI: 1417263534
Provider Name: GEORGE H PEACOCK MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
804 E NAVAJO ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 947-6359
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GEORGE H PEACOCK MD PC is a general practice in Farmington, NM. GEORGE H PEACOCK MD PC NPI is 1417263534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

804 E NAVAJO ST
FARMINGTON, NM
ZIP 87401-119
Phone: (505) 947-6359
Fax: (505) 326-2773

The provider's authorized official is Darla Santillanes .
The authorized official title is Office Mananger and has the following contact phone number (505) 947-6359.

The enumeration date for this NPI number is 8/26/2010 and was last updated on 9/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice76-82NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1525826280MMEDICARE PINNEW MEXICO
2C98026MEDICARE UPINNEW MEXICO
313136MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.