INDIAN WELLS ULTRASOUND IMAGING INC (NPI# 1215016415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215016415 |
| Entity Type | Organization |
| Organization Name | INDIAN WELLS ULTRASOUND IMAGING INC |
| Practice Address |
205 W Boutz Rd. Bldg #1 Las Cruces NM 88005 |
| Mailing Address |
Po Box 1744 Alamogordo NM 88311-1744 |
| Practice Telephone | 5055327000 |
| Practice Fax Number | 5055327129 |
| Mailing Telephone | 5054430339 |
| Mailing Fax Number | 5054345624 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | MR. CHARLES JACKSON WOODDELL (PRESIDENT) |
| Authorized Official Telephone | 5054430339 |
| Authorized Official Credential | RDMS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
106930 | NM | Ambulatory Health Care Facilities |
| Street Address |
205 W BOUTZ RD. BLDG #1 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316268030 | Insight Health Corp | Clinic/Center | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594179 | Lubbock Ct, Inc. | Clinic/Center | 3305 N Grimes St, Hobbs, NM 88240-1219 | 2011-10-07 |
| 1649467747 | Dean Shippey | Clinic/Center | 1600 N Main, Lovington, NM 88260 | 2007-10-02 |
| 1275759391 | New Mexico Imaging and Wellness | Clinic/Center | 401 Edith Blvd, Suite B-1, Albuquerque, NM 87102-2509 | 2007-04-17 |
| 1538466099 | Grant County Imaging Center LLC | Clinic/Center | 1600 E 32nd St, Silver City, NM 88061-7287 | 2011-02-18 |
| 1760795330 | Mercy Regional Medical Center of Durango | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2010-07-23 |
| 1962632646 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-16 |
| 1831329515 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2009-07-16 |
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on INDIAN WELLS ULTRASOUND IMAGING INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.