Provider Demographics
NPI:1689702599
Name:SOUTHWEST MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:SOUTHWEST MEDICAL SERVICES, INC
Other - Org Name:ALPHA NURSES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELBA
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-524-2400
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:FAIRACRES
Mailing Address - State:NM
Mailing Address - Zip Code:88033
Mailing Address - Country:US
Mailing Address - Phone:575-524-2400
Mailing Address - Fax:575-524-1213
Practice Address - Street 1:6800 CAMINO BLANCO
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-4969
Practice Address - Country:US
Practice Address - Phone:575-524-2400
Practice Address - Fax:575-524-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM6065251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM327033Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER