Organization
CARLSBAD MEDICAL CENTER LLC
Active
Organization
CARLSBAD MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(505) 887-4100
(505) 887-4256
Mailing address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(505) 887-4100
(505) 887-4256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K2282
—
NM
Enumeration date
06/01/2006
Last updated
06/14/2010
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