CLAYTON HEALTH SYSTEMS INC (NPI# 1285715243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285715243 |
| Entity Type | Organization |
| Organization Name | CLAYTON HEALTH SYSTEMS INC |
| Practice Address |
314 N 3rd Ave Clayton NM 88415-3302 |
| Mailing Address |
Po Box 489 Clayton NM 88415-0489 |
| Practice Telephone | 5053742273 |
| Practice Fax Number | 5053740903 |
| Mailing Telephone | 5053742585 |
| Mailing Fax Number | 5053740903 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | MRS. JILL REYNOLDS (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5052261800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
3060 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BC CLINIC | NM009F48 | 01 |
| NM | K5719 | 05 | |
| NM | PRESBYTERIAN CLINIC | 201040774 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051002 | Clayton Health Systems Inc | General Acute Care Hospital | 300 Wilson Street, Clayton, NM 88415-0489 | 2005-05-27 |
| 1235219742 | Clayton Health Systems Inc | Durable Medical Equipment & Medical Supplies | 300 Wilson St, Clayton, NM 88415-3304 | 2006-10-17 |
| Street Address |
314 N 3RD AVE |
| City | CLAYTON |
| State | NM |
| Zip Code | 88415-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919034 | Mark Edward Van Wormer | General Practice | 314 N 3rd Ave, Clayton, NM 88415-3302 | 2005-08-10 |
| 1265897151 | Clayton Health Systems, Inc | Clinic/Center | 314 N 3rd Ave, Clayton, NM 88415-3302 | 2015-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578954384 | Jeremy Sanchez | Counselor | 17 B South Second St, Clayton, NM 88415 | 2015-02-16 |
| 1841697901 | Morgan Scott | Counselor | 17 B S. Second St, Clayton, NM 88415 | 2014-12-04 |
| 1891028858 | Mary Blan | Counselor | 15 Oak Street, Clayton, NM 88415 | 2009-09-09 |
| 1487887774 | Krista R. Trujillo | Counselor | 17 B S Second St, Clayton, NM 88415 | 2009-09-02 |
| 1295918324 | Southwest Family Medical Care, Inc. | Clinic/Center | 200 Court St., Clayton, NM 88415 | 2007-12-12 |
| 1447344585 | Town of Clayton | Ambulance | 1 Chestnut Street, Clayton, NM 88415 | 2006-10-03 |
| 1699871426 | Michelle A Paquin | Nurse Practitioner | 185 Dr. Michael Jenkins Road, Cms Medical Unit, Clayton, NM 88415 | 2006-09-16 |
| 1033213681 | Sharon L Gonzales | Specialist | 110 Walnut Street Office B, Clayton, NM 88415 | 2006-09-12 |
| 1114979275 | Gary D Longanecker | Counselor | 110 Walnut Street, Office B, Clayton, NM 88415 | 2006-05-17 |
| 1821048695 | Nilo Isidro Rivera | Internal Medicine | 314 North 3rd Av, Clayton, NM 88415 | 2006-05-11 |
| Find all providers in zip 88415 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
Please comment or provide details below to improve the information on CLAYTON HEALTH SYSTEMS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.