CLOVIS FAMILY HEALTHCARE CENTER LLC
NPI 1619046950
Family Medicine in Clovis, NM
About Clovis Family Healthcare Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLOVIS FAMILY HEALTHCARE CENTER LLC (NPI 1619046950) is a healthcare organization registered as a family medicine in Clovis, New Mexico and active in the NPI registry since November 2006. The organization lists Blake O'hare, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clovis Family Healthcare Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Clovis Family Healthcare Center LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Clovis, NM 88101
Albuquerque, NM 87120
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Clovis Family Health Care Center LLC's NPI number?
The NPI number for Clovis Family Health Care Center LLC is 1619046950. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Clovis Family Healthcare Center LLC. The provider is also known as O'hare Wellness LLC.
Where is Clovis Family Health Care Center LLC located?
Clovis Family Health Care Center LLC is located at 2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101. The listed phone number is (575) 762-4455.
What is Clovis Family Health Care Center LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clovis Family Health Care Center LLC enrolled in Medicare?
Yes. Clovis Family Health Care Center LLC is registered in the Medicare PECOS enrollment system.
When is Clovis Family Health Care Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Mexico, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clovis Family Health Care Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Clovis Family Health Care Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clovis Family Health Care Center LLC was last updated on June 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Clovis Family Healthcare Center Llc · NPI 1619046950
Family Medicine organization in Clovis, New Mexico. Organization record, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1619046950 (Entity type: Organization)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Clovis Family Health Care Center Llc
- **Also known as:** O'HARE WELLNESS LLC (Other Name)
- **Organization subpart:** No
- **Authorized official:** Blake O'hare, OWNER
## Practice location
- **Address:** 2301 N DR MARTIN LUTHER KING JR BLVD, Clovis, NM 88101-9401
- **Phone:** (575) 762-4455 · **Fax:** (575) 762-8411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Mexico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2022
- **Other identifiers:** Other 3211175
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Source: [NPI Profile](https://npiprofile.com/npi/1619046950) · Data from the CMS NPPES public registry.