Clayton Health Systems Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Clayton, NM
NPI 1235219742 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1235219742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CLAYTON HEALTH SYSTEMS INC
- Practice address
- 300 Wilson St
Clayton, NM 88415-3304 - Phone
- (575) 374-2585
- Fax
- (575) 374-0117
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Tammie Chavez
- Title
- Ceo
- Phone
- (575) 374-2585
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Practitioners 5
-
Jessica Wright, CNP,DNP
-
Jessie Jean Fluhman, FNP
-
Minh Chinh Nguyen, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Union County General Hospital |
Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Walkers|Whe… | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Union County General Hospital |
Hospital | Operational/Managerial Control | Sep 1, 2008 |
| Union County General Hospital |
Hospital | Operational/Managerial Control (100%) | Sep 1, 2008 |
| Union County Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 18, 2016 Oct 18, 2016 |
| Union County General Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 2020 Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101112000894 | NM | DME Supplier - Medical Supply Company |
0941195895 | Practice locations: Clayton, NM |
National Provider Directory
- Tax ID family
- Clayton Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
300 Wilson St
Clayton, NM 88415-3304
Mailing address
PO Box 489
Clayton, NM 88415-0489
Phone (575) 374-0112
Other names
- CLAYTON HEALTH SYSTEMS MEDICAL EQUIPMENT
Other providers in Clayton, NM
- Care for You Health
- Chelsey Elizabeth Cates
- Becky Jo Claycomb
- Clayton Health Facilities LP
- Clayton Health System
- Clayton Health Systems Inc
- Clayton Health Systems Inc
- Clayton Health Systems, Inc
- Clayton Health Systems, Inc
- Clayton Nursing and Rehab Center Opco, LLC
All providers in Clayton, NM · Durable Medical Equipment & Medical Supplies in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.