Phc-Los Alamos Inc

LBN: Phc-Los Alamos Inc
Phc-Los Alamos Inc is an health care organization with primary practice located at 3917 West Rd , Los Alamos NM 87544-2275. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Emergency Medical Services is the primary health care specialty. Phc-Los Alamos Inc can be contacted via phone (505) 662-3452, or through Dillon, Terrance via phone (502) 596-7220.

Contact Information

Primary practice address
3917 West Rd Los Alamos NM 87544-2275
Phone: (505) 662-3452
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dillon, Terrance
Phone: (502) 596-7220

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1023147097
LBN Legal business name Phc-Los Alamos Inc
DBA Doing business as
Authorized official Dillon, Terrance
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Apr 25th, 2022 - about 2 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 1023147097 NPPES
New Mexico MEDICAID 96651067

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