Provider Demographics
NPI:1073134748
Name:THREE CROSSES REGIONAL HOSPITAL LLC
Entity Type:Organization
Organization Name:THREE CROSSES REGIONAL HOSPITAL LLC
Other - Org Name:THREE CROSSES REGIONAL HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HIM
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-800-3868
Mailing Address - Street 1:2560 SAMARITAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001
Mailing Address - Country:US
Mailing Address - Phone:800-421-8274
Mailing Address - Fax:575-592-2224
Practice Address - Street 1:2560 SAMARITAN DRIVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001
Practice Address - Country:US
Practice Address - Phone:800-421-8274
Practice Address - Fax:575-592-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty