Union Community Care PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

UNION COMMUNITY CARE PC

Practice address

1100 S Main St Ste 2
Las Cruces, NM 88005-2917

Phone

(575) 650-8114

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Darren Michael Brown, LISW/LCSW

Title

Coo

Phone

(575) 650-8114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1790192847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST STE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052917",
            "telephone_number": "575-650-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST STE 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052917",
            "telephone_number": "575-650-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COMMUNITY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "575-650-8114",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW/LCSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Exclusive Provider Organization in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.