CLOVIS SURGERY CENTER LLC NPI 1649251679

NPI Information

  • NPI: 1649251679
  • Provider Name: CLOVIS SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1820 W 21ST ST
    CLOVIS, NM
    ZIP 88101
  • Phone: (575) 762-2207

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NPI Details

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
1261QA1903XClinic/CenterAmbulatory Surgical3042NEW 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
1490005150OTHERNEW MEXICORAILROAD MEDICARE
2400521089MEDICARE PINNEW MEXICO
3C18086MEDICARE UPIN
40000F8949MEDICAIDNEW 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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