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Contact Information

OTERO COUNTY MEDICAL GROUP
2474 INDIAN WELLS RD
ALAMOGORDO, NM88310-3845
 Phone: 575-434-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for OTERO COUNTY MEDICAL GROUP

NPI Number 1700211323
LBN Legal business name OTERO COUNTY MEDICAL GROUP
Authorized official ROBERT HECKERT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/13/2013
Last updated 09/13/2013 - About 13 years ago
Identifiers n/a
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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