Lancer Health Group, Llc

LBN: Lancer Health Group, Llc
Lancer Health Group, Llc is an health care organization with primary practice located at 1400 S 2Nd St , Raton NM 87740-2102. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Lancer Health Group, Llc can be contacted via phone (505) 400-5491, or through Hefker, Marcia via phone (505) 398-1567.

Contact Information

Primary practice address
1400 S 2Nd St Raton NM 87740-2102
Phone: (505) 400-5491
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hefker, Marcia FNP-BC
Phone: (505) 398-1567

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1700345436
LBN Legal business name Lancer Health Group, Llc
DBA Doing business as
Authorized official Hefker, Marcia FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2019
Last updated Apr 1st, 2021 - about 5 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 1700345436 NPPES
New Mexico MEDICAID PENDING

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