# PHC LAS CRUCES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376891010
- **Authorized official:** MR. PAUL TWIST (COLLECTION/SUPERVISOR)
- **Authorized official phone:** (575) 522-8641

## Contact information

- **Practice address:** 2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5076
- **Practice address phone:** (575) 532-4480
- **Practice address fax:** (575) 532-4463
- **Mailing address:** 2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5076
- **Mailing address phone:** (575) 532-4480
- **Mailing address fax:** (575) 532-4463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 282N00000X | NM | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012