SIERRA VISTA MOBILE CLINIC (NPI# 1942741061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942741061 |
| Entity Type | Organization |
| Organization Name | SIERRA VISTA MOBILE CLINIC |
| Practice Address |
800 E 9th Ave Truth Or Consequences NM 87901-1954 |
| Practice Telephone | 5758942111 |
| Practice Fax Number | 5758944999 |
| Mailing Telephone | 5758942111 |
| Mailing Fax Number | 5758944999 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MICHAEL ZIMMERMAN (CEO) |
| Authorized Official Telephone | 5758942111 |
| Is Organization Subpart | Y |
| Parent Organization Name | SIERRA VISTA HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
800 E 9TH AVE |
| City | TRUTH OR CONSEQUENCES |
| State | NM |
| Zip Code | 87901-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576565 | Enoch Echezona Agunanne | Internal Medicine | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2005-05-24 |
| 1366057556 | Jean Mart Tilde Cofino | Physical Therapist | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2020-09-14 |
| 1891246427 | Saint Thomas | Chronic Disease Hospital | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2016-10-19 |
| 1952795023 | Estela Gregoria Rubin | Nurse Practitioner | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2015-03-26 |
| 1891047536 | Medical Diagnostic Imaging Group Ltd | Radiology | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2012-10-04 |
| 1689906042 | Ee Rad Nm, Inc | Radiology | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2010-02-09 |
| 1659519601 | Alysha Evelina Henry-johnson | Physician Assistant | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2009-01-29 |
| 1417140633 | Kim Keeys Jordan | Physical Therapist | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2007-08-21 |
| 1407896483 | Nathaniel Cobb | Emergency Medicine | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-06-07 |
| 1851331847 | Jorge Partida | Emergency Medicine | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138244 | Gallup Health Cooperative | Clinic/Center | 600 E Coal Ave, Gallup, NM 87301-6006 | 2020-06-12 |
| 1942557434 | Blue Skies Health Care, Inc | Clinic/Center | 400 Horseshoe Dr Apt A, Deming, NM 88030-5246 | 2012-08-14 |
| 1508021627 | New Mexico Mountain Healthcare | Clinic/Center | 348 St. Rd. 4, San Ysidro, NM 87053 | 2008-07-29 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1578010070 | Canoncito Band of Navajos Health Center, Inc. | Clinic/Center | 129 Medicine Horse Drive, Tohajiilee, NM 87026 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | TRUTH OR CONSEQUENCES |
| Zip Code | 87901 |
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| 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.