NPIMap

Organization Active NPI

Lancer Health Group, LLC

  • Multi-Specialty Clinic/Center
  • Raton, NM
National Provider Identifier
1700345436
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LANCER HEALTH GROUP, LLC
Practice address
1400 S 2ND St
Raton, NM 87740-2102
Phone
(505) 400-5491
NPI assigned
Mar 12, 2019
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Marcia Hefker, FNP-BCNPI 1609873355
Title
Owner/Practitioner
Phone
(505) 398-1567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1400 S 2ND St
Raton, NM 87740-2102

Mailing address

PO Box 8
Raton, NM 87740-0008
Phone (505) 400-5491

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lancerhealthgroup@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1700345436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877400008",
            "telephone_number": "505-400-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S 2ND ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402102",
            "telephone_number": "505-400-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCER HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "HEFKER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "505-398-1567",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lancerhealthgroup@gmail.com",
            "affiliation": "N",
            "address_1": "1400 S 2nd St",
            "city": "Raton",
            "state": "NM",
            "country_code": "US",
            "postal_code": "877402102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.