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PC MARK RACE MD PLC NPI 1164475828


NPI Information

NPI: 1164475828
Provider Name: PC MARK RACE MD PLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1501 10TH ST
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 446-5900
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PC MARK RACE MD PLC is a specialist in Alamogordo, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PC MARK RACE MD PLC NPI is 1164475828. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1501 10TH ST
ALAMOGORDO, NM
ZIP 88310-044
Phone: (575) 446-5900
Fax: (575) 446-5939

The provider's authorized official is Charles Mark Race .
The authorized official title is President and has the following contact phone number (575) 446-5900.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/7/2011.


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
1174400000XSpecialistMD2009-0724NEW 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
1I9624MEDICARE ID-TYPE UNSPECIFIEDIOWA
21175OTHERIOWAMIDLANDS
30417253MEDICAIDIOWA
4F57939MEDICARE UPINIOWA

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

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