UNION MEDICAL NPI 1790197614

NPI Information

NPI: 1790197614
Provider Name: UNION MEDICAL
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
207 N UNION AVE STE H
ROSWELL, NM
ZIP 88201
Phone: (575) 578-4815
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UNION MEDICAL is a primary care clinic center in Roswell, NM. UNION MEDICAL NPI is 1790197614. The provider is registered as an organization entity type.

The provider's business location address is:

207 N UNION AVE STE H
ROSWELL, NM
ZIP 88201-068
Phone: (575) 578-4815

The provider's authorized official is Gonzalo Corona-gonzalez .
The authorized official title is Physican and has the following contact phone number (575) 578-4815.

The enumeration date for this NPI number is 5/27/2014 and was last updated on 5/27/2014.

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	261QP2300X	Clinic/Center	Primary Care	MD2007-0650	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	24332852	MEDICARE PIN	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

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