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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NPI Details

GEORGE H PEACOCK MD PC is a general practice in Farmington, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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