EASTERN NEW MEXICO PHYSICIANS AND SURGEONS LLC
NPI 1114977675
Clinic/Center in Clovis, NM

Q: What is Eastern New Mexico Physicians And Surgeons LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 12, 2006

2425 W 21ST STREET, CLOVIS, NM 88101(505) 763-9800(505) 769-1998 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eastern New Mexico Physicians And Surgeons Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN NEW MEXICO PHYSICIANS AND SURGEONS LLC (NPI 1114977675) is a healthcare organization registered as a clinic/center in Clovis, New Mexico and active in the NPI registry since May 2006. The organization lists Lonnie J Ray, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1114977675

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameEASTERN NEW MEXICO PHYSICIANS AND SURGEONS LLC

Location Address2425 W 21ST STREETClovis, NM 88101

Mailing Address2425 W 21st StreetClovis, NM 88101 · (505) 763-9800 · Fax (505) 769-1998

Phone(505) 763-9800

Fax(505) 769-1998

Organization SubpartNo

Authorized OfficialLonnie J RayPractice Administrator · (505) 763-9800

Enumeration DateMay 12, 2006

Last NPPES UpdateMay 12, 2008

✔ NPI 1114977675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2425 W 21ST STREET, Clovis, NM 88101

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Other Identifiers 6

OtherDF1773NM · Railroad Medicare Pin

Medicare PIN300521116NM

Other03-07242-6000NM · Crs-1 Number

Other00NM001B06NM · Bcbs Of Nm

Medicaid78904374NM

Medicare NSC6009830001NM

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern New Mexico Physicians And Surgeons LLC's NPI number?

The NPI number for Eastern New Mexico Physicians And Surgeons LLC is 1114977675. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Eastern New Mexico Physicians And Surgeons LLC located?

Eastern New Mexico Physicians And Surgeons LLC is located at 2425 W 21st Street, Clovis, NM 88101. The listed phone number is (505) 763-9800.

What is Eastern New Mexico Physicians And Surgeons LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Eastern New Mexico Physicians And Surgeons LLC was last updated on May 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.