Organization Active NPI

Carlsbad Medical Center LLC

Doing business as Carlsbad Medical Center

  • General Acute Care Hospital
  • Carlsbad, NM
National Provider Identifier
1790722346
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
6744 Issued in NM
Legal business name
CARLSBAD MEDICAL CENTER LLC
Doing business as
Carlsbad Medical Center
Practice address
2430 W Pierce St
Carlsbad, NM 88220-3553
Phone
(505) 887-4100
Fax
(505) 887-4256
NPI assigned
Jun 1, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 6744 NM Primary

Addresses

Primary practice location

2430 W Pierce St
Carlsbad, NM 88220-3553

Mailing address

PO Box 847505
Dallas, TX 75284-7505
Phone (505) 887-4100

Other names 1

  • Carlsbad Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920000650 NM Part A Provider - Hospital 8729990734 1 other NPI on this enrollment
Practice locations: Carlsbad, NM; Artesia, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790722346. Details of each certification follow.

Hospital certification: CCN 320063

Legal name
CARLSBAD MEDICAL CENTER LLC
Doing business as
CARLSBAD MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 21, 1977
Last certification
Feb 15, 2024
Beds
116
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Nov 9, 1998 in DE
Enrollment address
2430 W Pierce St
Carlsbad Medical Center
Carlsbad, NM 88220-3553
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Carlsbad Medical CenterCCN 320063 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

160 N Roadrunner Pkwy
Las Cruces, NM 88011
Phone (505) 522-1802

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Mar 1, 2022
Corporate DirectorPresident/Board Member Mar 1, 2022
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Jul 14, 2017
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExecutive VP Mar 12, 2022
Hma-Tri Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Jan 6, 2020
Triad Holdings V LLC Organization, Franklin, TN LLC 5% Or Greater Direct Ownership Interest Dec 31, 2007 100%
Paula M Lalor Individual Corporate DirectorDelegated Official Apr 1, 2017
Triad Healthcare LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Dec 31, 2015 100%
Tennyson Holdings LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Oct 1, 2013 100%
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Nicholas Arledge Individual W-2 Managing EmployeeCeo Apr 26, 2021
Carlsbad Medical Center LLC Organization, Franklin, TN 5% Or Greater Direct Ownership Interest Dec 14, 2010
Christopher G Cobb Individual Corporate OfficerVP/Secretary Mar 12, 2022
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2013 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 120

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 120

Practitioners & affiliated clinicians

Practitioners 14

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 14

Affiliated clinicians 190

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 190

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1790722346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847505",
            "telephone_number": "505-887-4100",
            "fax_number": "505-887-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203553",
            "telephone_number": "505-887-4100",
            "fax_number": "505-887-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "6744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlsbad Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlsbad Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.