Enchanted Desert Emergency Physicians Llc

LBN: Enchanted Desert Emergency Physicians Llc
Enchanted Desert Emergency Physicians Llc is an health care organization with primary practice located at 900 W Ash St , Deming NM 88030-4000. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Enchanted Desert Emergency Physicians Llc can be contacted via phone (505) 546-5879, or through Ronan, Ross via phone (469) 401-2386.

Contact Information

Primary practice address
900 W Ash St Deming NM 88030-4000
Phone: (505) 546-5879
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ronan, Ross
Phone: (469) 401-2386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1861441529
LBN Legal business name Enchanted Desert Emergency Physicians Llc
DBA Doing business as
Authorized official Ronan, Ross
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Apr 24th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861441529 NPPES
New Mexico MEDICAID 38650711

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