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Contact Information

HALCYON HEALTH OF THE SOUTHWEST, LLC
1355 CALIFORNIA AVE STE B
LAS CRUCES, NM88001
 Phone: 575-523-8951
 Fax: 575-366-8011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HALCYON HEALTH OF THE SOUTHWEST, LLC

NPI Number 1760961908
LBN Legal business name HALCYON HEALTH OF THE SOUTHWEST, LLC
Authorized official MISTI LYNN - (OWNER / PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2018
Last updated 12/06/2018 - About 7 years ago
Identifiers
NM License # CNP-02392
NM Medicaid 64634876
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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