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Immedicare Care Clinic PC

Family Medicine Physician in Ruidoso, NM · enumerated 2005 · authorized official Marilyn Nishitani, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942292149

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Registry record

Entity type Organization (Type 2)
Legal business name Immedicare Care Clinic PC
Practice address 721 Mechem Dr, Sierra Mall, Ruidoso, NM, 88345
Phone (505) 630-5300
Fax (505) 630-5301
Enumeration date Aug 16, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Marilyn Nishitani
Title Owner
Phone (505) 630-5300

Other identifiers

Identifier Type State Issuer
36888257 Medicaid NM -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Immedicare Care Clinic PC located?
The practice location on file with NPPES is in Ruidoso, NM.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.