| Roswell Osteopathic Medical Clinic, Inc | |
|
111 W. Hobbs St. Roswell NM 88203 | |
| (575) 623-3311 | |
| (575) 622-1273 |
| Full Name | Roswell Osteopathic Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 W. Hobbs St., Roswell, New Mexico |
| Authorized Official Name and Position | Beau T Baumann (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 5756233311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Osteopathic Medical Clinic, Inc 111 W. Hobbs St. Roswell NM 88203 Ph: (575) 623-3311 | Roswell Osteopathic Medical Clinic, Inc 111 W. Hobbs St. Roswell NM 88203 Ph: (575) 623-3311 |
| NPI Number | 1144314287 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/22/2015 |
| Medicare PECOS PAC ID | 2062312721 |
|---|---|
| Medicare Enrollment ID | O20040109001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144314287 | NPI | - | NPPES |
| 45567 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New Mexico) | Primary |
| Provider Name | Mark L Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154420735 PECOS PAC ID: 4385722073 Enrollment ID: I20080422000093 |
| Provider Name | Linda V Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255588067 PECOS PAC ID: 0345396578 Enrollment ID: I20090914000222 |
| Provider Name | Sherri Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114345857 PECOS PAC ID: 3476776097 Enrollment ID: I20160415000060 |
| Provider Name | Jennifer Lynn May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285119651 PECOS PAC ID: 6901145606 Enrollment ID: I20190225000523 |
| Provider Name | Rachel M Schupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282246 PECOS PAC ID: 2163763665 Enrollment ID: I20190410002129 |
| Provider Name | Bracie Haworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477493 PECOS PAC ID: 4486022563 Enrollment ID: I20221121002436 |
| Provider Name | Tonia Elizabeth Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023780293 PECOS PAC ID: 5799153490 Enrollment ID: I20221201000031 |
Donald J Willis D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 9, Roswell, NM 88201 Phone: 575-624-2095 Fax: 575-627-5721 | |
Southern New Mexico Medical Association, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W. Country Club Rd, Roswell, NM 88201 Phone: 505-623-1442 Fax: 505-623-3835 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170 Fax: 629-216-0568 | |
Roswell Hospital Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W Hobbs St, Roswell, NM 88203 Phone: 575-623-5263 | |
Lovelace Health System, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1627 S Union Ave, Roswell, NM 88203 Phone: 575-208-0106 | |
Eye Catchers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 E College Blvd, Roswell, NM 88201 Phone: 575-625-9800 Fax: 575-624-1724 |