Provider Demographics
NPI:1972805976
Name:NEW MEXICO SLEEP INSTITUTE LLC
Entity Type:Organization
Organization Name:NEW MEXICO SLEEP INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:M.J.
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-397-2100
Mailing Address - Street 1:PO BOX 1108
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88241-1108
Mailing Address - Country:US
Mailing Address - Phone:575-397-2100
Mailing Address - Fax:575-397-2102
Practice Address - Street 1:311 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-6005
Practice Address - Country:US
Practice Address - Phone:575-397-2100
Practice Address - Fax:575-397-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-23
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic