| Your Health First Medical Clinic, Llc | |
|
1301 8th St Las Vegas NM 87701-4221 | |
| (505) 398-1160 | |
| Not Available |
| Full Name | Your Health First Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1301 8th St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Mary Ann Osuchowski-sanchez (OWNER) |
| Authorized Official Contact | 5053981160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Health First Medical Clinic, Llc Po Box 832 Las Vegas NM 87701-0832 Ph: (505) 429-9440 | Your Health First Medical Clinic, Llc 1301 8th St Las Vegas NM 87701-4221 Ph: (505) 398-1160 |
| NPI Number | 1881071462 |
|---|---|
| Provider Enumeration Date | 05/02/2015 |
| Last Update Date | 10/16/2018 |
| Medicare PECOS PAC ID | 9436479730 |
|---|---|
| Medicare Enrollment ID | O20150528001440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881071462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP00739 (New Mexico) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Mary Ann K Osuchowski Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841327772 PECOS PAC ID: 4981755618 Enrollment ID: I20090619000261 |
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