| Mcmc Outpatient Clinic | |
|
203 Hospital Dr Raton NM 87740-2012 | |
| (575) 445-3661 | |
| (575) 445-7737 |
| Full Name | Mcmc Outpatient Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 203 Hospital Dr, Raton, New Mexico |
| Authorized Official Name and Position | Bo Beames (CEO) |
| Authorized Official Contact | 5754453661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcmc Outpatient Clinic 203 Hospital Dr Raton NM 87740-2012 Ph: (575) 445-3661 | Mcmc Outpatient Clinic 203 Hospital Dr Raton NM 87740-2012 Ph: (575) 445-3661 |
| NPI Number | 1902143977 |
|---|---|
| Provider Enumeration Date | 01/11/2013 |
| Last Update Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902143977 | NPI | - | NPPES |
| 94005139 | Medicaid | CO | |
| 00968 | Medicaid | NM | |
| 46946 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6143 (New Mexico) | Primary |
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