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IMMEDICARE CARE CLINIC PC
NPI 1942292149
Family Medicine in Ruidoso, NM

Active since August 16, 2005
721 MECHEM DR, SIERRA MALL, RUIDOSO, NM 88345(505) 630-5300(505) 630-5301 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Immedicare Care Clinic Pc NPPES

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

IMMEDICARE CARE CLINIC PC (NPI 1942292149) is a healthcare organization registered as a family medicine in Ruidoso, New Mexico and active in the NPI registry since August 2005. The organization lists Marilyn Nishitani, Owner, as its authorized official.

NPPES Registry Identity

NPI1942292149
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMMEDICARE CARE CLINIC PC
Location Address721 MECHEM DR, SIERRA MALLRuidoso, NM 88345-6911
Mailing Address721 Mechem Dr, Sierra MallRuidoso, NM 88345-6911 · (505) 630-5300 · Fax (505) 630-5301
Phone(505) 630-5300
Fax(505) 630-5301
Organization SubpartNo
Authorized OfficialMarilyn NishitaniOwner · (505) 630-5300
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942292149 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.
721 MECHEM DR, Ruidoso, NM 88345
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Other Identifiers 1

Medicaid36888257NM

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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHRAMM DRUG INC
Pharmacy
721 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (505) 257-3882
VALERIE HOGAN
Pharmacist
721 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (575) 257-4014
SHERI K SCHRAMM RPH
Pharmacist
721 MECHEM DR, LONG'S PHARMACY AND GIFTS
RUIDOSO, NM 88345
Lincoln County (505) 257-3882
DR. AMY SAYNER-FLUSCHE PHARM.D.
Pharmacist (Pharmacotherapy)
721 MECHEM DR
RUIDOSO, NM 88345
Lincoln County (505) 257-3882
KENNETH CHILDRESS DDS
Dentist (General Practice)
721 MECHEM DR, SIERRA MALL #5
RUIDOSO, NM 88345
Lincoln County (575) 257-0246
KENNETH W CHILDRESS DDS PC
Dentist (General Practice)
721 MECHEM DR, SIERRA MALL #5
RUIDOSO, NM 88345
Lincoln County (575) 257-0246

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 Immedicare Care Clinic PC's NPI number?

The NPI number for Immedicare Care Clinic PC is 1942292149. It was assigned to this organization in the NPPES registry on August 16, 2005.

Where is Immedicare Care Clinic PC located?

Immedicare Care Clinic PC is located at 721 Mechem Dr Sierra Mall, Ruidoso, NM 88345. The listed phone number is (505) 630-5300.

What is Immedicare Care Clinic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Immedicare Care Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.