Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immedicare Care Clinic PC

Organization Family Medicine Physician · NPI 1942292149

Immedicare Care Clinic PC is a Family Medicine Physician in Ruidoso, New Mexico. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

721 Mechem Dr Sierra Mall
Ruidoso, NM 88345-6911
Phone: (505) 630-5300
Fax: (505) 630-5301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1942292149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marilyn Nishitani — Owner · (505) 630-5300
NPI enumeratedAugust 16, 2005
Last updated in NPPESAugust 22, 2020
Mailing address721 Mechem Dr, Sierra Mall, Ruidoso, NM 88345-6911

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