CORONA HEALTH CLINIC
NPI 1912324930
General Practice in Corona, NM

Active since March 27, 2014CLIA 32D1031309 · Waiver
471 MAIN ST, CORONA, NM 88318(575) 849-1561(575) 849-1562 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Corona Health Clinic NPPES

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

CORONA HEALTH CLINIC (NPI 1912324930) is a healthcare organization registered as a general practice in Corona, New Mexico and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Bo Beames, Vp Rds, as its authorized official.

NPPES Registry Identity

NPI1912324930
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePRESBYTERIAN HEALTHCARE SERVICES
Location Address471 MAIN STCorona, NM 88318
Mailing AddressPo Box 26666Albuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Fax(575) 849-1562
Organization SubpartNo
Authorized OfficialBo BeamesVp Rds · (575) 835-8700
Enumeration DateMarch 27, 2014
NPI 1912324930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NM · 3156
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

471 MAIN ST, Corona, NM 88318

Other Names 1

Doing Business AsCorona Health Clinic

Other Identifiers 2

Medicare OSCAR/certification=========CNM
Medicaid07773242NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 32D1031309

Corona Health Clinic · Corona, NM
Active · expires Sep 27, 2026
CLIA Number32D1031309
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorDr. W Christopher Robinson
Laboratory Phone(575) 849-1561
Laboratory LocationCorona Health Clinic471 Main Street, Corona, NM 88318
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912324930, enumerated as an "organization" on March 27, 2014.

The provider is located at 471 MAIN ST CORONA, NM 88318 and the phone number is (575) 849-1561.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.