PREMIER CARE LAS CRUCES; NPI #1003827650

Contact Information

PREMIER CARE LAS CRUCES

STEFAN C SCHAEFER MD
2465 S TELSHOR BLVD
LAS CRUCES, NM 88011

Phone: 505-556-0101
Fax: 505-522-0808
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Non-Pharmacy Dispensing Site	332900000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PREMIER CARE LAS CRUCES

NPI Number 1003827650

LBN Legal business name PREMIER CARE LAS CRUCES

Authorized official CHARLES FEESE - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/10/2006

Last updated 11/19/2007 - About 19 years ago

Identifiers

NM	License #	CL00010409
NM	Medicaid	85804762
	Other	3211327	OTHER ID NUMBER
	Other	3211327	OTHER ID NUMBER-COMMERCIAL NUMBER

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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PREMIER CARE LAS CRUCES

Contact Information

Specialty

Non-Pharmacy Dispensing Site

NPI Profile & details for PREMIER CARE LAS CRUCES

Reviews for PREMIER CARE LAS CRUCES