| Evercare Family Practice Llc | |
|
1911 5th St Suite 101 Santa Fe NM 87505-5403 | |
| (505) 780-8301 | |
| (505) 780-5418 |
| Full Name | Evercare Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1911 5th St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Karen C Oday (OWNER) |
| Authorized Official Contact | 5057808301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evercare Family Practice Llc 1911 5th St Suite 101 Santa Fe NM 87505-5403 Ph: (505) 780-8301 | Evercare Family Practice Llc 1911 5th St Suite 101 Santa Fe NM 87505-5403 Ph: (505) 780-8301 |
| NPI Number | 1336683366 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 12/09/2016 |
| Medicare PECOS PAC ID | 2062796006 |
|---|---|
| Medicare Enrollment ID | O20170310001903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336683366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CNP00488 (New Mexico) | Primary |
| Provider Name | Karen C Oday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164483962 PECOS PAC ID: 8022917939 Enrollment ID: I20040108000548 |
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