CLOVIS SURGERY CENTER LLC NPI 1649251679

NPI Information

NPI: 1649251679
Provider Name: CLOVIS SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1820 W 21ST ST
CLOVIS, NM
ZIP 88101
Phone: (575) 762-2207
Get Directions

CLOVIS SURGERY CENTER LLC is an ambulatory surgical clinic center in Clovis, NM. CLOVIS SURGERY CENTER LLC NPI is 1649251679. The provider is registered as an organization entity type.

The provider's business location address is:

1820 W 21ST ST
CLOVIS, NM
ZIP 88101-024
Phone: (575) 762-2207
Fax: (575) 762-7108

The provider's authorized official is Albert M Kwan .
The authorized official title is Owner and has the following contact phone number (575) 762-2207.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 4/4/2016.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	3042	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	490005150	OTHER	NEW MEXICO	RAILROAD MEDICARE
2	400521089	MEDICARE PIN	NEW MEXICO
3	C18086	MEDICARE UPIN
4	0000F8949	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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »