Premier Care Las Cruces

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

CL00010409 Issued in NM

Legal business name

PREMIER CARE LAS CRUCES

Practice address

Stefan C Schaefer MD
2465 S Telshor Blvd
Las Cruces, NM 88011

Phone

(505) 556-0101

Fax

(505) 522-0808

NPI assigned

Aug 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Feese

Title

Executive Director

Phone

(573) 860-2273

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1003827650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630800220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STEFAN C SCHAEFER MD",
            "address_2": "2465 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "505-556-0101",
            "fax_number": "505-522-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE LAS CRUCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "FEESE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-860-2273"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NM",
            "license": "CL00010409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3211327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3211327",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85804762",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolandus Selmar Pratt
• Vijayakumar Praveen, MD
• Abigail Emma Prawitz
• Howard Pray, DDS
• Corina Preciado, LSAA
• Premier Home Healthcare LLC
• Premier Mobile Lab LLC
• Premier.Net,LLC
• Mya Marie Preston
• Kara Lynn Price, PT

• Non-Pharmacy Dispensing Site in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Non-Pharmacy Dispensing Site in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.