RIP & SNORT HEALTHCARE LLC NPI 1295211340

NPI Information

NPI: 1295211340
Provider Name: RIP & SNORT HEALTHCARE, LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 32D2155108

Address:
110 SOLANO RD
PIE TOWN, NM
ZIP 87827
Phone: (520) 488-1756
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RIP & SNORT HEALTHCARE, LLC is a community health clinic center in Pie Town, NM. RIP & SNORT HEALTHCARE, LLC NPI is 1295211340. The provider is registered as an organization entity type.

The provider's business location address is:

110 SOLANO RD
PIE TOWN, NM
ZIP 87827
Phone: (520) 488-1756
Fax: (888) 614-3881

The provider's authorized official is Devonna Anne Johnson .
The authorized official title is Provider/administrator and has the following contact phone number (520) 488-1756.

The CLIA number assigned to this NPI record is 32D2155108 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 11/15/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health		NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	92826555	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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