| Hope Medical Services, Llc | |
|
305 Faculty Ln Corrales NM 87048-8721 | |
| (505) 228-5178 | |
| Not Available |
| Full Name | Hope Medical Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 305 Faculty Ln, Corrales, New Mexico |
| Authorized Official Name and Position | David Lee Hemphill (OWNER OF PRACTICE) |
| Authorized Official Contact | 5052285178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical Services, Llc 305 Faculty Ln Corrales NM 87048-8721 Ph: () - | Hope Medical Services, Llc 305 Faculty Ln Corrales NM 87048-8721 Ph: (505) 228-5178 |
| NPI Number | 1649894544 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 06/05/2020 |
| Medicare PECOS PAC ID | 9335567502 |
|---|---|
| Medicare Enrollment ID | O20200921001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649894544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | David L Hemphill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699735100 PECOS PAC ID: 0648228833 Enrollment ID: I20050413001094 |
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