Active NPI
Lincoln County Family Medical Group
- Family Medicine Physician
- Ruidoso, NM
National Provider Identifier
1932380904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 82-170
- Legal business name
- LINCOLN COUNTY FAMILY MEDICAL GROUP
- Practice address
- 1401 Sudderth Dr
Ruidoso, NM 88345-6104 - Phone
- (575) 257-7712
- Fax
- (575) 257-4513
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arlene M Brown, MD
- Title
- Owner
- Phone
- (575) 257-7712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82-170 | NM | Primary |
Addresses
Primary practice location
1401 Sudderth Dr
Ruidoso, NM 88345-6104
Mailing address
1401 Sudderth Dr
Ruidoso, NM 88345-6104
Phone (575) 257-7712
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Ruidoso, NM
- NPI 1629067574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1932380904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456104",
"telephone_number": "575-257-7712",
"fax_number": "575-257-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SUDDERTH DR",
"city": "RUIDOSO",
"state": "NM",
"postal_code": "883456104",
"telephone_number": "575-257-7712",
"fax_number": "575-257-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN COUNTY FAMILY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-19",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ARLENE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-257-7712",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NM",
"license": "82-170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruidoso, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.