NPIMap

Organization Active NPI

Aia,PC

  • General Acute Care Hospital
  • Clovis, NM
National Provider Identifier
1770952939
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
CRNA-01248 Issued in NM
Legal business name
AIA,PC
Practice address
113 Adkins CT
Clovis, NM 88101-9373
Phone
(435) 553-9345
Fax
(575) 356-8516
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Barton Hickman, CRNA
Title
President
Phone
(435) 553-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X CRNA-01248 NM Primary

Addresses

Primary practice location

113 Adkins CT
Clovis, NM 88101-9373

Mailing address

113 Adkins CT
Clovis, NM 88101-9373
Phone (435) 553-9345

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1770952939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ADKINS CT",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019373",
            "telephone_number": "435-553-9345",
            "fax_number": "575-356-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ADKINS CT",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019373",
            "telephone_number": "435-553-9345",
            "fax_number": "575-356-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIA,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-553-9345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "CRNA-01248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.