| NPI | 1902143977 |
|---|---|
| Other Name | MCMC OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | BO BEAMES CEO 575-445-3661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NM 6143) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2020-03-12 |