EASTERN MEDICAL ASSOCIATES LLC NPI 1346272499

NPI Information

  • NPI: 1346272499
  • Provider Name: EASTERN MEDICAL ASSOCIATES LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 42121 US HWY 70
    PORTALES, NM
    ZIP 88130
  • Phone: (575) 356-6652

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NPI Details

EASTERN MEDICAL ASSOCIATES LLC is a family medicine in Portales, 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. EASTERN MEDICAL ASSOCIATES LLC NPI is 1346272499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42121 US HWY 70
PORTALES, NM
ZIP 88130-357
Phone: (575) 356-6652
Fax: (575) 359-6827

The provider's authorized official is Angie Parks .
The authorized official title is Practice Administrator and has the following contact phone number (575) 356-6653.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/15/2008.

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
1207Q00000XFamily MedicineYes

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
11346272499MEDICARE UPIN
21568405587OTHERNPI
31477505477OTHERNPI
41538103197OTHERNPI
55298810001MEDICARE NSC
61144264805OTHERNPI

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: 11/21/2025

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