MEDICARE: MIMBRES HEALTH MAINTENANCE ASSOCIATES P C

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	2080N0001X	Neonatal-Perinatal Medicine Physician	2003-0634	NM
2	207Q00000X	Family Medicine Physician	81-71	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063428431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIMBRES HEALTH MAINTENANCE ASSOCIATES P C

Provider Business Mailing Address
First Line	:	850 W. FLORIDA
Second Line	:
City	:	DEMING
State	:	NM
Zip	:	88030
Country	:	US
Telephone Number	:	505-544-2800
Fax Number	:	505-544-2801

Provider Business Practice Location Address
First Line	:	850 W FLORIDA ST
Second Line	:
City	:	DEMING
State	:	NM
Zip	:	88030-4558
Country	:	US
Telephone Number	:	505-544-2800
Fax Number	:	505-544-2801

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. GEORGE LAFON
Credential	:	MD
Telephone Number	:	505-544-2800

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	08/27/2010

Similar Medicare Providers

1326041963 — MS. PATRICIA WOOD CNM
Practice Location Address:

850 W FLORIDA ST
DEMING, NM
88030-4558

Practice Phone: 505-546-6548
Practice Fax:

1841209954 — DR. GEORGE I LAFON MD
Practice Location Address:

850 W FLORIDA ST
DEMING, NM
88030-4558

Practice Phone: 575-544-2800
Practice Fax: 575-544-2801

1063518066 — DR. THOMAS MARTIN BOYLE MD
Practice Location Address:

850 W FLORIDA ST
DEMING, NM
88030-4558

Practice Phone: 575-544-2020
Practice Fax: 575-544-2801

1952897019 — BRYCE S JOHNSON OD
Practice Location Address:

850 W FLORIDA ST
DEMING, NM
88030-4558

Practice Phone: 575-544-2020
Practice Fax:

1801565445 — LIDIA M VEGA CHAVIRA LMSW
Practice Location Address:

1403 S MESILLA ST
DEMING, NM
88030-4944

Practice Phone: 575-332-1312
Practice Fax:

1063342640 — VERONICA PALOMAR BT
Practice Location Address:

1914 S SHELLY DR
DEMING, NM
88030-6190

Practice Phone: 720-227-5295
Practice Fax:

Directions to “MIMBRES HEALTH MAINTENANCE ASSOCIATES P C ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.