PHC-LOS ALAMOS INC (NPI# 1285701623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285701623 |
| Entity Type | Organization |
| Organization Name | PHC-LOS ALAMOS INC |
| Other Organization Name | LOS ALAMOS MEDICAL CENTER |
| Practice Address |
3917 West Rd Los Alamos NM 87544-2275 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 5056624201 |
| Practice Fax Number | 5056619598 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
3086 | NM | Hospitals |
| Other Name | Type Code |
|---|---|
| Los Alamos Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023147097 | Phc-los Alamos Inc | Obstetrics & Gynecology | 3917 West Rd, Los Alamos, NM 87544-2275 | 2007-03-05 |
| 1215005129 | Phc-los Alamos Inc | Medicare Defined Swing Bed Unit | 3917 West Rd, Los Alamos, NM 87544-2275 | 2006-11-30 |
| Street Address |
3917 WEST RD |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
| 1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
| 1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
| 1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
| 1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
| 1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
| 1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063882058 | Nor Lea General Hospital | General Acute Care Hospital | 1600 N Main Ave, Lovington, NM 88260-2830 | 2015-10-02 |
| 1891886065 | Mescalero Indian Hospital | General Acute Care Hospital | 318 Abalone Loop, Mescalero, NM 88340-0210 | 2006-09-27 |
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on PHC-LOS ALAMOS 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.