Pecos Valley Medical Center, Inc

LBN: Pecos Valley Medical Center, Inc
Pecos Valley Medical Center, Inc is an health care organization with primary practice located at 199 Hwy 50 , Pecos NM 87552-0710. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Suppliers / Clinic Pharmacy. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Pecos Valley Medical Center, Inc can be contacted via phone (505) 757-6482, or through Norris, Kevin via phone (505) 757-6482.

Contact Information

Primary practice address
199 Hwy 50 Pecos NM 87552-0710
Fax: (505) 757-2700
Website:
Authorized official contact:
Name: Norris, Kevin

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 6263 New Mexico
Suppliers / Clinic Pharmacy 3336C0002X CL00007120 New Mexico

Profile Details

NPI number 1497801047
LBN Legal business name Pecos Valley Medical Center, Inc
DBA Doing business as
Authorized official Norris, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Sep 22nd, 2015 - about 9 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 1497801047 NPPES
New Mexico MEDICAID 046623

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