Organization
PHC-LAS CRUCES INC
Active
Other names
Memorial Medical Center of Las Cruces
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 522-8641
(575) 521-5013
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3171
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201060533
PRESBYTERIAN HEALTH
NM
05
—
67939864
—
NM
01
—
NM0096
BLUE CROSS BLUE SHIELD
NM
01
—
PROVFP9019
MOLINA SALUD
NM
Enumeration date
06/20/2006
Last updated
05/01/2024
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