Cibola Specialty Associates
NPI 1003444647ActiveOrganization· Clinic/Center, Multi-Specialty· Grants, NM
Clinic/Center, Multi-Specialty in Grants, New Mexico, registered in NPPES in March 2020. The authorized official on file is Thomas Whelan, Ceo.
Overview
| NPI | 1003444647 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2020 |
| Last updated in NPPES | Jan 11, 2021 |
| Certified by provider | Jan 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | — | — |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|