UNION COUNTY MEDICAL CENTER INC (NPI# 1093935355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093935355 |
| Entity Type | Organization |
| Organization Name | UNION COUNTY MEDICAL CENTER INC |
| Other Organization Name | UNION COUNTY MEDICAL CENTER PC |
| Practice Address |
314 N. 3rd Ave Clayton NM 88415-0565 |
| Practice Telephone | 5753748313 |
| Practice Fax Number | 5753742064 |
| Mailing Telephone | 5753748313 |
| Mailing Fax Number | 5753742064 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | MRS. LORI VAN WORMER (PRESIDENT) |
| Authorized Official Telephone | 5753748313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6239 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000045785 | 05 | |
| NM | 000005645 | 05 |
| Other Name | Type Code |
|---|---|
| Union County Medical Center PC | Former Legal Business Name - Organization |
| Street Address |
314 N. 3RD AVE |
| City | CLAYTON |
| State | NM |
| Zip Code | 88415-0565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578954384 | Jeremy Sanchez | Counselor | 17 B South Second St, Clayton, NM 88415 | 2015-02-16 |
| 1841697901 | Morgan Scott | Counselor | 17 B S. Second St, Clayton, NM 88415 | 2014-12-04 |
| 1891028858 | Mary Blan | Counselor | 15 Oak Street, Clayton, NM 88415 | 2009-09-09 |
| 1487887774 | Krista R. Trujillo | Counselor | 17 B S Second St, Clayton, NM 88415 | 2009-09-02 |
| 1295918324 | Southwest Family Medical Care, Inc. | Clinic/Center | 200 Court St., Clayton, NM 88415 | 2007-12-12 |
| 1447344585 | Town of Clayton | Ambulance | 1 Chestnut Street, Clayton, NM 88415 | 2006-10-03 |
| 1699871426 | Michelle A Paquin | Nurse Practitioner | 185 Dr. Michael Jenkins Road, Cms Medical Unit, Clayton, NM 88415 | 2006-09-16 |
| 1033213681 | Sharon L Gonzales | Specialist | 110 Walnut Street Office B, Clayton, NM 88415 | 2006-09-12 |
| 1114979275 | Gary D Longanecker | Counselor | 110 Walnut Street, Office B, Clayton, NM 88415 | 2006-05-17 |
| 1821048695 | Nilo Isidro Rivera | Internal Medicine | 314 North 3rd Av, Clayton, NM 88415 | 2006-05-11 |
| Find all providers in zip 88415 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326544289 | Holly Lucas Eubanks | Family Medicine | 19 Ocean Dr, Clayton, NC 27520-3666 | 2018-03-31 |
| 1366898041 | Sarah Elizabeth Starr | Family Medicine | 37 Pineville Blvd Ste 101, Clayton, NC 27527-9355 | 2016-05-11 |
| 1578980504 | Juliann Marques | Family Medicine | 11491 Us Highway 70 West, Clayton, NC 27520 | 2014-03-27 |
| 1205113578 | Laura P West | Family Medicine | 30 Cotton Wood Drive, Clayton, GA 30525-4295 | 2011-11-14 |
| 1376729319 | John M. Peasant Sr. | Family Medicine | 379 Highway 239, Clayton, AL 36016-4618 | 2008-01-19 |
| 1568665610 | Scott M Kahn | Family Medicine | 236 Butternut Dr, Clayton, NC 27520-5857 | 2007-06-07 |
| 1457499881 | Robert C. Donlick, Do, Pa | Family Medicine | 210 Clayton Ave., Clayton, DE 19938-1145 | 2007-02-01 |
| 1023180932 | Robert C Donlick | Family Medicine | 210 Clayton Avenue, Clayton, DE 19938-1145 | 2006-11-15 |
| 1417051681 | William B Hebda | Family Medicine | 100 Cunningham Ln, Clayton, NC 27527-3923 | 2006-09-11 |
| 1518073030 | Steven M Kaplan | Family Medicine | 5439 Clayton Road, Suite B, Clayton, CA 94517 | 2006-08-21 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.