| Eunice Special Hospital District | |
|
1109 Main St Eunice NM 88231-0239 | |
| (575) 394-1091 | |
| (575) 394-0215 |
| Full Name | Eunice Special Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 1109 Main St, Eunice, New Mexico |
| Authorized Official Name and Position | Erin Paschal (INTERMIN MANAGER) |
| Authorized Official Contact | 5753941091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eunice Special Hospital District 1109 Main Po Box 239 Eunice NM 88231-0239 Ph: (575) 394-1091 | Eunice Special Hospital District 1109 Main St Eunice NM 88231-0239 Ph: (575) 394-1091 |
| NPI Number | 1689724627 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 4082667654 |
|---|---|
| Medicare Enrollment ID | O20050223000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689724627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3198 (New Mexico) | Primary |
| Provider Name | Brian C Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144275637 PECOS PAC ID: 8729032800 Enrollment ID: I20050311000000 |
| Provider Name | Candida Ladawn Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139259 PECOS PAC ID: 3375783673 Enrollment ID: I20131112001702 |
| Provider Name | Carrie Nichole Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801172150 PECOS PAC ID: 4880996941 Enrollment ID: I20160106000819 |