| Able Clinical Services Inc. | |
|
100 N Church St Ste B Bloomfield NM 87413-5754 | |
| (505) 333-7219 | |
| Not Available |
| Full Name | Able Clinical Services Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 100 N Church St Ste B, Bloomfield, New Mexico |
| Authorized Official Name and Position | Kristi D Coddington (REGISTERED AGENT) |
| Authorized Official Contact | 5053337219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Able Clinical Services Inc. 100 N Church St Ste B Bloomfield NM 87413-5754 Ph: (505) 333-7219 | Able Clinical Services Inc. 100 N Church St Ste B Bloomfield NM 87413-5754 Ph: (505) 333-7219 |
| NPI Number | 1154919694 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 01/08/2021 |
| Certification Date | 01/08/2021 |
| Medicare PECOS PAC ID | 4385050384 |
|---|---|
| Medicare Enrollment ID | O20210316002140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154919694 | NPI | - | NPPES |
| Provider Name | Kristi Coddington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043865496 PECOS PAC ID: 5294141297 Enrollment ID: I20210316002183 |
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