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PHC Las Cruces

Organization Active NPI General Acute Care Hospital · Las Cruces, NM

NPI 1376891010 · NPPES record last updated Aug 28, 2012

Key facts

NPI
1376891010
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
282N00000X (NM)
Legal business name
PHC LAS CRUCES
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Phone
(575) 532-4480
Fax
(575) 532-4463
NPI assigned
Aug 28, 2012
Organization subpart
No

Authorized official

Name
Mr. Paul Twist
Title
Collection/Supervisor
Phone
(575) 522-8641

Corporate family (same tax ID) 10

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
Memorial Medical Center (11 organizations share this tax ID)

Locations

2735 Northrise Dr
Ste B
Las Cruces, NM 88011
Phone (575) 532-4399

2735 Northrise Dr
#2003
Las Cruces, NM 88011

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 282N00000X NM Yes

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5076

Mailing address

2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Phone (575) 532-4480

Other identifiers

IdentifierTypeStateIssuer
67939864MedicaidNM

Other names

  • Memorial Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2012.

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1376891010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115076",
            "telephone_number": "575-532-4480",
            "fax_number": "575-532-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115076",
            "telephone_number": "575-532-4480",
            "fax_number": "575-532-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC LAS CRUCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "TWIST",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COLLECTION/SUPERVISOR",
        "authorized_official_telephone_number": "575-522-8641",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "282N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67939864",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · General Acute Care Hospital in New Mexico

Sources for this page

Verify at the official NPI Registry.