| Trinity Family Medicine, P. C. | |
|
701 Arizona St. Suite A Clovis NM 88101 | |
| (575) 742-3033 | |
| (575) 742-1133 |
| Full Name | Trinity Family Medicine, P. C. |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Arizona St. Suite A, Clovis, New Mexico |
| Authorized Official Name and Position | Charles Daniel Oteo (CEO) |
| Authorized Official Contact | 5757144505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Medicine, P. C. 701 Arizona St. Suite A Clovis NM 88101 Ph: (575) 742-3033 | Trinity Family Medicine, P. C. 701 Arizona St. Suite A Clovis NM 88101 Ph: (575) 742-3033 |
| NPI Number | 1437264447 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/26/2017 |
| Medicare PECOS PAC ID | 8527969146 |
|---|---|
| Medicare Enrollment ID | O20040116000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437264447 | NPI | - | NPPES |
| 46488260 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Charles D Otero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255375903 PECOS PAC ID: 8921909557 Enrollment ID: I20040120000457 |
Plains Regional Medical Center Outpatient Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2421 W 21st St Ste B, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-769-7856 |
The Nurses Touch Family Healthcare Practitioners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 W Manana Blvd, Clovis, NM 88101 Phone: 505-693-3171 |
Lockmiller Health & Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 North Prince Street, Suite C, Clovis, NM 88101 Phone: 575-742-8911 Fax: 575-742-8902 |
Eastern New Mexico Physicians and Surgeons LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 W 21st Street, Clovis, NM 88101 Phone: 505-763-9800 Fax: 505-769-1998 |
Blue and Red Bird Corporation, PC. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 W 14th St, Clovis, NM 88101 Phone: 575-762-6492 Fax: 757-935-8333 |
T. Charles Hillis, DO Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Main St, Ste 31, Clovis, NM 88101 Phone: 575-763-4057 Fax: 575-763-4091 |