Provider Demographics
NPI:1184693665
Name:SIERRA HEALTH CARE INC.
Entity type:Organization
Organization Name:SIERRA HEALTH CARE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-894-1735
Mailing Address - Street 1:1400 N SILVER ST
Mailing Address - Street 2:
Mailing Address - City:TRUTH OR CONSEQUENCES
Mailing Address - State:NM
Mailing Address - Zip Code:87901-1957
Mailing Address - Country:US
Mailing Address - Phone:575-894-1735
Mailing Address - Fax:575-894-1202
Practice Address - Street 1:1400 N SILVER ST
Practice Address - Street 2:
Practice Address - City:TRUTH OR CONSEQUENCES
Practice Address - State:NM
Practice Address - Zip Code:87901-1957
Practice Address - Country:US
Practice Address - Phone:575-894-1735
Practice Address - Fax:575-894-1202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3158251G00000X
NM3088251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201071396OtherPRESBYTERIAN HEALTH PLAN
NMNM00HHA3OtherBLUE CROSS OF NM
NM43930026Medicaid
NM49459775Medicaid
NMNM00HHA3OtherBLUE CROSS OF NM
NM321551Medicare Oscar/Certification