Provider Demographics
NPI:1710649470
Name:CLEARSKY CARE CONNECTIONS, LLC
Entity Type:Organization
Organization Name:CLEARSKY CARE CONNECTIONS, LLC
Other - Org Name:CLEARSKY CARE CONNECTIONS TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-317-3988
Mailing Address - Street 1:5600 WYOMING BLVD NE STE 225
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3136
Mailing Address - Country:US
Mailing Address - Phone:505-910-4544
Mailing Address - Fax:
Practice Address - Street 1:703 EUREKA ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-6547
Practice Address - Country:US
Practice Address - Phone:682-803-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty