CLOVIS FAMILY HEALTH CARE
NPI 1265686778
Nurse Practitioner - Family in Clovis, NM
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 32D2277257
- CLIA Cert. Type: Other - ACUTE/ URGENT CARE
- CLIA Exp. Date: 02-22-2027
About CLOVIS FAMILY HEALTH CARE
This page provides the complete NPI Profile along with additional information for Clovis Family Health Care, a provider established in Clovis, New Mexico operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1265686778 assigned on November 2008. The practitioner's primary taxonomy code is 363LF0000X with license number R33747 (NM). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mona Johnson (Director Of Personel)
- NPI
- 1265686778 Verify this NPI
- Provider Name
- CLOVIS FAMILY HEALTH CARE
- Entity Type
- Organization
- Location Address
- 2301 N MLK BLVD CLOVIS, NM 88101
- Location Phone
- (575) 762-4455
- Location Fax
- (575) 762-8411
- Mailing Address
- 2301 N MLK BLVD CLOVIS, NM 88101
- Mailing Phone
- (575) 762-4455
- Mailing Fax
- (575) 762-8411
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-11-2008
- Last Update Date
- 11-11-2008
- Code Navigator
A nurse practitioner (NP) like Clovis Family Health Care is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R33747
- License State
- NM
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2277257
- Facility Type
- Other - ACUTE/ URGENT CARE
- Certificate Effective Date
- February 23, 2025
- Certificate Expiration Date
- February 22, 2027
- Laboratory Director
- LACI OHARE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clovis Family Health Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265686778, enumerated as an "organization" on November 11, 2008.
The provider is located at 2301 N MLK BLVD CLOVIS, NM 88101 and the phone number is (575) 762-4455.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.