JUDAHCORP, INC (NPI# 1962691170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962691170 |
| Entity Type | Organization |
| Organization Name | JUDAHCORP, INC |
| Other Organization Name | HIGH PLAINS SLEEP DISORDERS CENTER |
| Practice Address |
1020 W 21st St Clovis NM 88101-4150 |
| Mailing Address |
Po Box 5250 Clovis NM 88102-5250 |
| Practice Telephone | 5757634725 |
| Practice Fax Number | 5757634743 |
| Mailing Telephone | 5757634725 |
| Mailing Fax Number | 5757634743 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | MR. BRYAN W. ELLIS (PRESIDENT & CEO) |
| Authorized Official Telephone | 5757634725 |
| Authorized Official Credential | BS, RRT, RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| High Plains Sleep Disorders Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 W 21st St, Clovis, NM 881014086 | 5057634725 | 5057634743 |
| Street Address |
1020 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245556380 | Comprehensive Sleep Diagnostics | Clinic/Center | 255 W Herndon Ave, Suite 102, Clovis, CA 93612 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403528 | St Vincent Hospital | Clinic/Center | 440 Saint Michaels Dr Ste 150, Santa Fe, NM 87505-7637 | 2019-12-09 |
| 1952951675 | Swsleep Inc | Clinic/Center | 3401 N Butler Ave, Ste 105, Farmington, NM 87401-6867 | 2019-09-14 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1477710689 | The Victorian House Sleep Center LLC | Clinic/Center | 4036 Corrales Rd, Corrales, NM 87048-9308 | 2008-05-16 |
| 1134290885 | Sleep Recording Services | Clinic/Center | 1749 Round Up Dr Ne, Rio Rancho, NM 87144-6291 | 2006-11-13 |
| 1063517126 | Quality Sleep Solutions, Inc. | Clinic/Center | 1009 Golf Course Rd Se, Suite 109, Rio Rancho, NM 87124-2058 | 2006-09-13 |
| 1881798981 | Maimonides Sleep Arts & Sciences | Clinic/Center | 6739 Academy Ne, Suite 380, Albuquerque, NM 87109 | 2006-09-11 |
| 1144246224 | The Sleep Center of Farmington | Clinic/Center | 413 N Auburn Ave, Farmington, NM 87401-5840 | 2006-07-14 |
| 1659314417 | Cosmos Health Services LLC | Clinic/Center | 2210 W Alameda St, Santa Fe, NM 87507-9410 | 2006-06-13 |
| 1588223150 | Pinon Sleep Center, LLC | Clinic/Center | 904 E 20th St Ste C, Farmington, NM 87401-4281 | 2019-06-07 |
| Find all providers with the same taxonomy | ||||
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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.