Healthcare Provider Details
I. General information
NPI: 1396405528
Provider Name (Legal Business Name): MEDNM URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/29/2021
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5419 N LOVINGTON HWY STE 4
HOBBS NM
88240-9102
US
IV. Provider business mailing address
3305 N GRIMES ST
HOBBS NM
88240-1219
US
V. Phone/Fax
- Phone: 575-392-1503
- Fax: 575-392-3555
- Phone: 575-392-1503
- Fax: 575-392-3555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALI
M
SHERIF
Title or Position: MD
Credential: MD
Phone: 575-390-1383