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RIO PECOS MEDICAL ASSOCIATES LTD NPI 1033163076


NPI Information

NPI: 1033163076
Provider Name: RIO PECOS MEDICAL ASSOCIATES LTD
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
305 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (575) 622-6322
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RIO PECOS MEDICAL ASSOCIATES LTD is a specialist in Roswell, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RIO PECOS MEDICAL ASSOCIATES LTD NPI is 1033163076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

305 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201-892
Phone: (575) 622-6322
Fax: (575) 622-6888

The provider's authorized official is Cody Dodson .
The authorized official title is Office Manager and has the following contact phone number (575) 622-6322.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 9/23/2013.


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
1174400000XSpecialist0180602500NEW 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
100045153MEDICAIDNEW 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: 5/5/2024

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