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COUNTY LINE MEDICAL SERVICE INC
NPI 1538199773
Family Medicine in Chaparral, NM

Active since July 04, 2006CLIA 32D1057255 · Microscopy
545 S COUNTY LINE DR SPC A, CHAPARRAL, NM 88081(575) 824-5007 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About County Line Medical Service Inc NPPES

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

COUNTY LINE MEDICAL SERVICE INC (NPI 1538199773) is a healthcare organization registered as a family medicine in Chaparral, New Mexico and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through September 2, 2027 and lists Kyong Yol Ko, Md / President, as its authorized official.

NPPES Registry Identity

NPI1538199773
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOUNTY LINE MEDICAL SERVICE INC
Location Address545 S COUNTY LINE DR SPC AChaparral, NM 88081-7802
Mailing Address545 S County Line Dr Spc AChaparral, NM 88081-7802 · (575) 824-5007
Phone(575) 824-5007
Organization SubpartNo
Authorized OfficialKyong Yol KoMd / President · (575) 824-5007
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 10, 2013
✔ NPI 1538199773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
545 S COUNTY LINE DR SPC A, Chaparral, NM 88081
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Other Identifiers 3

OtherDF0606Rr Medicare
Medicaid40725391NM
Medicare PIN800521178NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 32D1057255

County Line Medical Service Inc · Chaparral, NM
Active · expires Sep 2, 2027
CLIA Number32D1057255
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorKyong Y. Ko
Laboratory Phone(575) 824-5007
Laboratory LocationCounty Line Medical Service Inc545 County Line Drive Space A, Chaparral, NM 88081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 County Line Medical Service Inc's NPI number?

The NPI number for County Line Medical Service Inc is 1538199773. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is County Line Medical Service Inc located?

County Line Medical Service Inc is located at 545 S County Line Dr Spc A, Chaparral, NM 88081. The listed phone number is (575) 824-5007.

What is County Line Medical Service Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does County Line Medical Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 32D1057255) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does County Line Medical Service Inc accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list County Line Medical Service Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Line Medical Service Inc was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.