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Otero County Medical Group

Organization Active NPI Psychiatry Physician · Alamogordo, NM

NPI 1013342278 · NPPES record last updated Sep 6, 2013

Key facts

NPI
1013342278
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatry Physician 2084P0800X
Legal business name
OTERO COUNTY MEDICAL GROUP
Practice address
2539 Medical Dr
Suite 106
Alamogordo, NM 88310-8720
Phone
(575) 446-5300
NPI assigned
Sep 6, 2013
Organization subpart
Yes
Parent organization (as reported)
OTERO COUNTY MEDICAL GROUP

Authorized official

Name
Mr. Robert James Heckert, FACHE
Title
Ceo
Phone
(575) 443-7845

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Otero County Medical Group (20 organizations share this tax ID)
Part of
Otero County Medical Group

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X Yes
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LP0808X

Addresses

Primary practice location

2539 Medical Dr
Suite 106
Alamogordo, NM 88310-8720

Mailing address

2689 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 434-1699

Other names

  • Life Transitions Doing business as

Other providers in Alamogordo, NM

All providers in Alamogordo, NM · Psychiatry Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.