Los Alamos Medical Care Clinic LTD
Organization Active NPI Multi-Specialty Clinic/Center · Los Alamos, NM
NPI 1801816293 · NPPES record last updated Feb 20, 2020
Key facts
- NPI
- 1801816293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- LOS ALAMOS MEDICAL CARE CLINIC LTD
- Practice address
- 3917 West Rd
Suite 150
Los Alamos, NM 87544 - Phone
- (505) 662-4351
- Fax
- (505) 662-2932
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Claudette Medina
- Title
- Office Manager
- Phone
- (505) 662-4351
Practitioners 11
-
Amy Vandling, FNP-BC
-
Galina Batygina, P.A.
-
Monica J Snowden, M.D.
-
Lori S. Whitley, MD
-
Robin Jean Norman, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322001618 | NM | Part B Supplier - Clinic/Group Practice | 4284525007 |
Receives reassigned benefits from 11 practitioners Practice locations: Los Alamos, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | |||
| Dermatology Physician |
207N00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
3917 West Rd
Suite 150
Los Alamos, NM 87544
Mailing address
3917 West Rd
Suite 150
Los Alamos, NM 87544
Phone (505) 662-4351
Other providers in Los Alamos, NM
- Los Alamos Chiropractic Center
- Los Alamos Emergency Medical Associates Inc
- Los Alamos Family Council, Inc.
- Los Alamos Family Eyecare, P.C.
- Los Alamos Family Practice P a
- Los Alamos NM Endoscopy ASC LLC
- Los Alamos Pediatric Clinic
- Los Alamos Physician Practices LLC
- Los Alamos Physician Practices LLC
- Los Alamos Physician Practices LLC
All providers in Los Alamos, NM · Multi-Specialty Clinic/Center 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 Feb 20, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.