NPIMap

Organization Active NPI

Las Vegas Urgent Care

  • Basic Emergency Medical Technician
  • Las Vegas, NM
National Provider Identifier
1871876607
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
CNP00739 Issued in NM
Legal business name
LAS VEGAS URGENT CARE
Practice address
600 Mills Ave Ste B
Las Vegas, NM 87701-4669
Phone
(505) 425-2673
Fax
(505) 425-3086
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Lisa M Gurule
Title
Credentialing Corrdinator
Phone
(505) 474-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 146N00000X CNP00739 NM Primary

Addresses

Primary practice location

600 Mills Ave Ste B
Las Vegas, NM 87701-4669

Mailing address

600 Mills Ave Ste B
Las Vegas, NM 87701-4669
Phone (505) 425-2673

National Provider Directory

National Provider Directory
Tax ID family
Santa Fe Medical Group8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1871876607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MILLS AVE STE B",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014669",
            "telephone_number": "505-425-2673",
            "fax_number": "505-425-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MILLS AVE STE B",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014669",
            "telephone_number": "505-425-2673",
            "fax_number": "505-425-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING CORRDINATOR",
        "authorized_official_telephone_number": "505-474-6097"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NM",
            "license": "CNP00739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.