Mmc Cancer Center

LBN: Phc Las Cruces
Mmc Cancer Center is an health care organization with primary practice located at 2530 S Telshor Blvd Suite 201, Las Cruces NM 88011-4907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Phc Las Cruces can be contacted via phone (575) 521-5277, or through Mangum, Angie via phone (575) 521-5277.

Contact Information

Primary practice address
2530 S Telshor Blvd Suite 201 Las Cruces NM 88011-4907
Fax:
Website:
Authorized official contact:
Name: Mangum, Angie

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1376774489
LBN Legal business name Phc Las Cruces
DBA Doing business as Mmc Cancer Center
Authorized official Mangum, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2009
Last updated Aug 6th, 2009 - about 16 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 1376774489 NPPES
New Mexico MEDICAID 26001373

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