MEDICARE: PATRICIA A HINKLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	006530575	NM

General Provider Information

NPI Number	:	1245892678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A HINKLE

Provider Business Mailing Address
First Line	:	7735 KISSIAH DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-7114
Country	:	US
Telephone Number	:	575-642-2373
Fax Number	:	575-993-5312

Provider Business Practice Location Address
First Line	:	7735 KISSIAH DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88012-7114
Country	:	US
Telephone Number	:	575-642-2373
Fax Number	:	575-993-5312

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2019
Last Update Date	:	07/05/2019

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Directions to “ PATRICIA A HINKLE ” Practice Location

Language	Start Address	Practice Location

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