| Las Vegas Medical Group | |
|
108 Legion Dr Ste A Las Vegas NM 87701-4898 | |
| (505) 425-2662 | |
| (505) 425-6410 |
| Full Name | Las Vegas Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Legion Dr Ste A, Las Vegas, New Mexico |
| Authorized Official Name and Position | Laura J Fey (SR. DIRECTOR PHYSICIAN REV CYCLE) |
| Authorized Official Contact | 6152213641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Vegas Medical Group Po Box 18428 Belfast ME 04915-4079 Ph: (505) 425-2662 | Las Vegas Medical Group 108 Legion Dr Ste A Las Vegas NM 87701-4898 Ph: (505) 425-2662 |
| NPI Number | 1184193450 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8921097502 |
|---|---|
| Medicare Enrollment ID | O20181220000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184193450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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