MMC Cancer Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

0110081 Issued in NM

Legal business name

MMC CANCER CENTER

Practice address

2530 S Telshor Blvd Ste 201
Las Cruces, NM 88011-4975

Phone

(575) 521-1554

Fax

(575) 556-1754

NPI assigned

Jun 27, 2012

Organization subpart

Yes

Parent organization

MEMORIAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Paul Herzog

Title

Ceo

Phone

(575) 521-2258

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Memorial Medical Center

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1669736328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD STE 201",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114975",
            "telephone_number": "575-521-1554",
            "fax_number": "575-556-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD STE 201",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114975",
            "telephone_number": "575-521-1554",
            "fax_number": "575-556-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC CANCER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL MEDICAL CENTER",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-521-2258",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NM",
            "license": "0110081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO LICENSE FROM THE COUNSELING AND THERAPY PRACTICE BOARD",
            "identifier": "LPCC 0110081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Mitchell
• Margaret Mitchell
• Reagan Mitchell
• Ronald M Mitchell, DC
• MJRX III, LLC
• Elvis Mmuo
• Raha M. Mobarak, DPM
• Emily Diane Moberly, MA., CCC-SLP
• Corbin Moen
• Akram Mohamednour

• Psychiatric Hospital Unit in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Psychiatric Hospital Unit in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.