Family Medicine
IMMEDICARE CARE CLINIC PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942292149 · enumerated 2005-08-16 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MARILYN NISHITANI FNP, Owner · (505) 630-5300
Addresses and phones
- Mailing address 721 MECHEM DR, SIERRA MALL, RUIDOSO, NM, 88345-6911 (505) 630-5300 Fax (505) 630-5301 Google Maps Apple Maps OpenStreetMap
- Practice location 721 MECHEM DR, SIERRA MALL, RUIDOSO, NM, 88345-6911 (505) 630-5300 Fax (505) 630-5301 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
-
Practice location
RUIDOSO, NM, 883456911
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.