EARTHWORTHY COMPASSIONATE CARE


Address: 714 W Main St, Suite F, Farmington, NM 87401-5639
Phone: 5059472787

EARTHWORTHY COMPASSIONATE CARE (NPI# 1578837472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578837472
Entity Type Organization
Organization Name EARTHWORTHY COMPASSIONATE CARE
Other Organization Name NICHOLETTE DEVILBISS
Practice Address 714 W Main St
Suite F
Farmington
NM 87401-5639
Mailing Address 2808 E Cedar St
Farmington
NM 87401-7907
Practice Telephone 5059472787
Mailing Telephone 5059472787
Enumeration Date 2012-02-24
Last Update Date 2012-02-24
Authorized Official Name MRS. NICHOLETTE A DEVILBISS (OWNER)
Authorized Official Telephone 5059472787
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
NICHOLETTE DEVILBISS Doing Business As Name - Organization

Office Location

Street Address 714 W MAIN ST
SUITE F
City FARMINGTON
State NM
Zip Code 87401-5639

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City FARMINGTON
Zip Code 87401

Improve Information

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Dataset Information

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.

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