ROSWELL CLINIC CORP NPI 1649267618

NPI Information

ROSWELL CLINIC CORP is a family medicine in Roswell, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROSWELL CLINIC CORP NPI is 1649267618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 W COUNTRY CLUB RD
STE 201
ROSWELL, NM
ZIP 88201-205
Phone: (888) 801-5554

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Senior Director, Enrollment and has the following contact phone number (877) 892-9815.

The CLIA number assigned to this NPI record is 32D2006103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2005 and was last updated on 1/25/2022.

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:

Other Identifiers

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