Provider Demographics
NPI: | 1952907164 |
---|---|
Name: | LAS CRUCES MEDICAL CENTER LLC |
Entity Type: | Organization |
Organization Name: | LAS CRUCES MEDICAL CENTER LLC |
Other - Org Name: | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | DIRECTOR/DELEGATED OFFICIAL |
Authorized Official - Prefix: | |
Authorized Official - First Name: | PAULA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LALOR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 629-215-3953 |
Mailing Address - Street 1: | 4311 E LOHMAN AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | LAS CRUCES |
Mailing Address - State: | NM |
Mailing Address - Zip Code: | 88011-8255 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 575-556-7610 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4311 E LOHMAN AVE |
Practice Address - Street 2: | |
Practice Address - City: | LAS CRUCES |
Practice Address - State: | NM |
Practice Address - Zip Code: | 88011-8255 |
Practice Address - Country: | US |
Practice Address - Phone: | 575-556-7610 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | LAS CRUCES MEDICAL CENTER LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2020-12-11 |
Last Update Date: | 2021-04-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 275N00000X | Hospital Units | Medicare Defined Swing Bed Unit |