| Clovis Family Healthcare Center Llc | |
|
2301 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9401 | |
| (575) 762-4455 | |
| (575) 762-8411 |
| Full Name | Clovis Family Healthcare Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2301 N Dr Martin Luther King Jr Blvd, Clovis, New Mexico |
| Authorized Official Name and Position | Blake O'hare (OWNER) |
| Authorized Official Contact | 5757601365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clovis Family Healthcare Center Llc 2301 N Martin Luther King Blvd Clovis NM 88101 Ph: (575) 762-4455 | Clovis Family Healthcare Center Llc 2301 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9401 Ph: (575) 762-4455 |
| NPI Number | 1619046950 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 06/26/2022 |
| Medicare PECOS PAC ID | 6002720455 |
|---|---|
| Medicare Enrollment ID | O20031118001148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619046950 | NPI | - | NPPES |
| 3211175 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erika S Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568634491 PECOS PAC ID: 4385794379 Enrollment ID: I20090612000422 |
| Provider Name | Mark D Lockett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114913563 PECOS PAC ID: 6608862602 Enrollment ID: I20100709000235 |
| Provider Name | Kristen A Jeffcoat-knauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669801858 PECOS PAC ID: 0941430888 Enrollment ID: I20140220000921 |
| Provider Name | Amanda Renee Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780183954 PECOS PAC ID: 7113288911 Enrollment ID: I20180219000211 |
| Provider Name | Joy L Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923631 PECOS PAC ID: 1557697356 Enrollment ID: I20190801000596 |
| Provider Name | Laci Ohare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841861697 PECOS PAC ID: 4880096734 Enrollment ID: I20210714002421 |
| Provider Name | Shay Mckelvain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235883422 PECOS PAC ID: 2062808066 Enrollment ID: I20220330002503 |
| Provider Name | Beverly Griswold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629776430 PECOS PAC ID: 4486017431 Enrollment ID: I20230824000958 |
| Provider Name | Carole Neace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992405112 PECOS PAC ID: 5496118457 Enrollment ID: I20230824001406 |
| Provider Name | Kelsi Peabody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750079679 PECOS PAC ID: 7719335439 Enrollment ID: I20231118000110 |
The Nurses Touch Family Healthcare Practitioners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 W Manana Blvd, Clovis, NM 88101 Phone: 505-693-3171 | |
Lockmiller Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 North Prince Street, Suite C, Clovis, NM 88101 Phone: 575-742-8911 Fax: 575-742-8902 | |
Eastern New Mexico Physicians And Surgeons Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 W 21st Street, Clovis, NM 88101 Phone: 505-763-9800 Fax: 505-769-1998 | |
Blue And Red Bird Corporation, Pc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 W 14th St, Clovis, NM 88101 Phone: 575-762-6492 Fax: 757-935-8333 | |
T. Charles Hillis, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Main St, Ste 31, Clovis, NM 88101 Phone: 575-763-4057 Fax: 575-763-4091 | |
Aquickcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 W 21st St, Suite E3, Clovis, NM 88101 Phone: 575-769-2533 | |
Clovis Va Outpatient Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 E Llano Estacado Blvd, Clovis, NM 88101 Phone: 505-763-4335 Fax: 505-763-4296 |