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Contact Information

PHC LAS CRUCES
2530 S TELSHOR BLVD
SUITE 201
LAS CRUCES, NM88011-4907
 Phone: 575-521-5277
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHC LAS CRUCES

NPI # 1376774489
LBN Legal business name PHC LAS CRUCES
Authorized official ANGIE MANGUM - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2009
Last updated 08/06/2009 - About 17 years ago
Identifiers
NM Medicaid 26001373
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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