Carlsbad Medical Center LLC
Organization Active NPI General Acute Care Hospital · Carlsbad, NM
NPI 1790722346 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1790722346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 6744 (NM)
- Legal business name
- CARLSBAD MEDICAL CENTER LLC
- Practice address
- 2430 W Pierce St
Carlsbad, NM 88220-3553 - Phone
- (505) 887-4100
- Fax
- (505) 887-4256
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Paula M Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Owners & managing parties with NPI records 3
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Related certifications (CCN) 2
Facilities with the same owner 120
Practitioners 14
-
Richard Michael Rembecki, MD, PHD
-
Derek Senior, M.D.
-
Shadia M Ajaj, MD
-
Raul Rene Andino, M.D.
-
Angela E Asom, MD
-
Mahnee L Dinsmore, M.D.
-
Karl J Hapcic, MD,DDS
-
John Daniel Heathcote, D. O.
-
Nelson R Pou-de Santiago, M.D.
Affiliated clinicians 190
-
Nicole Ann Alaniz, AGACNP-BC
-
Patricia J Aldaz, CNP
-
Darla Ann Bannister, NURSE PRACTIONER
-
Gustavo Barrazueta, M.D.
-
Susan Blankenship, R.N., MSN., NP-C
-
Melissa Joy Bolt, AGPCNP
-
Andrew Bruner, M.D.
-
Sara Lee Campbell, APRN CNS-BC
-
Aiste Chamblin, ARNP
-
Amy K Chavez, FNP
-
Nicole Dyan Chavez, FNP-C
-
Ashley Childs, DNP, APRN, FNP-BC
-
Eric David Cohen, MD
-
Jane K Cornwell, CNP
-
Nels N Dahlgren, MD
-
Casey Dellabarca, MD
-
Ronda Sue Fleck, M.D.
-
Anna Florez, FNP
Medicare Care Compare: Hospital
- Listed as
- Carlsbad Medical Center
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
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
- LLC · Proprietary
- Incorporated
- Nov 9, 1998 in DE
- Enrollment address
- 2430 W Pierce St
Carlsbad Medical Center
Carlsbad, NM 88220-3553 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| Nathaniel K Summar |
Corporate Director |
Jul 14, 2017 | |
| Justin D Pitt |
Corporate Officer |
Mar 1, 2022 | |
| Corporate Director |
Mar 1, 2022 | ||
| William Bradley Cash |
Corporate Officer |
Mar 12, 2022 | |
| Hma-Tri Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Jason Kevin Johnson |
Corporate Officer |
Jan 6, 2020 | |
| Roman Gabriel Ottinger |
Corporate Officer |
Jan 6, 2020 | |
| Triad Holdings V LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2007 | 100% |
| Paula M Lalor |
Corporate Director |
Apr 1, 2017 | |
| Triad Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Tennyson Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 1, 2013 | 100% |
| Edna S Buffington-Price |
Corporate Director |
Mar 1, 2022 | |
| Nicholas Arledge |
W-2 Managing Employee |
Apr 26, 2021 | |
| Carlsbad Medical Center LLC |
5% Or Greater Direct Ownership Interest | Dec 14, 2010 | |
| Christopher G Cobb |
Corporate Officer |
Mar 12, 2022 | |
| CHS Community Health Systems Inc |
5% Or Greater Indirect Ownership Interest | Oct 1, 2013 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190920000650 | NM | Part a Provider - Hospital | 8729990734 |
1 other NPI on this enrollment Practice locations: Carlsbad, NM; Artesia, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 6744 | NM | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0154 | Medicaid | NM | |
| B3186 | Medicaid | NM |
Other names
- Carlsbad Medical Center
Other providers in Carlsbad, NM
- Carlsbad Lifehouse Inc
- Carlsbad Medical Center LLC
- Carlsbad Medical Center LLC
- Carlsbad Medical Center LLC
- Carlsbad Medical Center LLC
- Carlsbad Medical Center LLC
- Carlsbad Mental Health Center
- Carlsbad Municipal Schools
- Carlsbad Open MRI
- Carlsbad Physical Therapy & Wellness Center, LLC
All providers in Carlsbad, NM · General Acute Care Hospital in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.