Organization
PHC LAS CRUCES
Active
Other names
Memorial Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL TWIST (COLLECTION/SUPERVISOR)
(575) 522-8641
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5076
(575) 532-4480
(575) 532-4463
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5076
(575) 532-4480
(575) 532-4463
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
282N00000X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67939864
—
NM
Enumeration date
08/28/2012
Last updated
08/28/2012
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