PHC-Los Alamos Inc

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

Legal business name

PHC-LOS ALAMOS INC

Practice address

3917 West Rd
Los Alamos, NM 87544-2275

Phone

(505) 662-4201

Fax

(505) 661-9598

NPI assigned

Nov 30, 2006

Organization subpart

Yes

Parent organization

PHC-LOS ALAMOS INCAs reported in NPPES

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

Authorized official

Name

Charlotte Lawrence

Title

Secretary

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Los Alamos Medical Center - swing bed unit Doing business as

Electronic endpoints 1

Part of

PHC-Los Alamos Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• PHC-Los Alamos Inc

  • Rural Acute Care Hospital
  • Los Alamos, NM
  • NPI 1285701623

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: losalamos@yourcarecommunity.org

Practitioners 3

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

• Kathleen Edna Maley, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Albuquerque, NM
  • NPI 1396719274
  NPD (past)
• Deborah D Werenko, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1447228119
  NPD (past)
• Robert Bruce Lutes, M.D.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1972659134
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1215005129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST RD",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442275",
            "telephone_number": "505-662-4201",
            "fax_number": "505-661-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC-LOS ALAMOS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHC-LOS ALAMOS INC",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "losalamos@yourcarecommunity.org",
            "affiliation": "N",
            "address_1": "3917 West Rd",
            "city": "Los Alamos",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875442275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Los Alamos Medical Center - swing bed unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Alamos Medical Center - swing bed unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Elizabeth Peick, NP
• Elisabeth Scherf Perry, PH.D.
• Melissa Jane Petty, NP
• PHC- Los Alamos Inc
• PHC-Los Alamos Inc
• PHC-Los Alamos Inc
• Physical Therapy Plus Inc
• Petra Pirc, MSPT
• Tina Lynn Platte
• Sara Pocernik, R.D.

• All providers in Los Alamos, NM
• Medicare Defined Swing Bed Hospital Unit in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.