GRANT COUNTY IMAGING CENTER LLC (NPI# 1538466099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538466099 |
| Entity Type | Organization |
| Organization Name | GRANT COUNTY IMAGING CENTER LLC |
| Practice Address |
1600 E 32nd St Silver City NM 88061-7287 |
| Mailing Address |
205 W Boutz Rd Bldg 1 Las Cruces NM 88005-3259 |
| Practice Telephone | 5755349033 |
| Practice Fax Number | 5755349057 |
| Mailing Telephone | 5755327000 |
| Mailing Fax Number | 5755327025 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-08-17 |
| Authorized Official Name | RAMAKRISHNA DEVASTHALI (MEMBER) |
| Authorized Official Telephone | 5755561800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1600 E 32ND ST |
| City | SILVER CITY |
| State | NM |
| Zip Code | 88061-7287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883533 | John Anthony Flores | Internal Medicine | 1600 E 32nd St, Silver City, NM 88061-7287 | 2005-09-27 |
| 1063042109 | Kyia Mountain | Nurse Practitioner | 1600 E 32nd St, Silver City, NM 88061-7287 | 2020-01-16 |
| 1750787339 | Tamara S Burris | Nurse Practitioner | 1600 E 32nd St, Silver City, NM 88061-7287 | 2014-11-10 |
| 1497198808 | Michael Harris | Nurse Practitioner | 1600 E 32nd St, Silver City, NM 88061-7287 | 2013-04-16 |
| 1396029112 | Marvin Curtis White | Physician Assistant | 1600 E 32nd St, Silver City, NM 88061-7287 | 2011-09-29 |
| 1750687620 | John Hawley Fancher | Internal Medicine | 1600 E 32nd St, Silver City, NM 88061-7287 | 2011-02-09 |
| 1588983340 | Monica Luisita Garcia | Physician Assistant | 1600 E 32nd St, Silver City, NM 88061-7287 | 2010-05-19 |
| 1669649869 | Sarah St. John Guck | Social Worker | 1600 E 32nd St, Silver City, NM 88061-7287 | 2008-05-15 |
| 1477685923 | Ronald A Oglesby | Physician Assistant | 1600 E 32nd St, Silver City, NM 88061-7287 | 2007-03-11 |
| 1760556781 | Isaac David Saucedo | Physician Assistant | 1600 E 32nd St, Silver City, NM 88061-7287 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235764127 | Tanya Jacqueline Ruiz | Case Manager/Care Coordinator | 1000 Hudson St, Silver City, NM 88061 | 2020-03-11 |
| 1326686635 | Jasmine Jaylene Abeyta | Behavior Technician | 3903 N Pinos Altos Road, Silver City, NM 88061 | 2019-12-17 |
| 1548826829 | Stephanie Trujillo | Psychologist | 2810 N. Swan St., Silver City, NM 88061 | 2019-05-13 |
| 1619453784 | Courtney Ochoa | Counselor | 3200 32nd Street Bypass, Silver City, NM 88061 | 2018-07-12 |
| 1609369206 | Tara Arias | Behavior Technician | 2875 Grand Mesa St, Silver City, NM 88061 | 2018-06-08 |
| 1205339454 | Manuel A Ortega | Counselor | 1311 N Grant St Ste A, Silver City, NM 88061 | 2018-03-14 |
| 1720587058 | Manuel A. Martinez IIi | Social Worker | 3082 32nd Street Byp, Silver City, NM 88061 | 2018-02-01 |
| 1467971986 | Hidalgo Medical Services | Clinic/Center | 3200 32nd St Bypass, Silver City, NM 88061 | 2017-09-15 |
| 1245787316 | David Thomas Rivera | Social Worker | 2039 Cottage Sand Rd., Silver City, NM 88061 | 2016-09-07 |
| 1821462540 | Anthony Alibah | Pharmacist | 100 Rosdale Road, Walgreens, Silver City, NM 88061 | 2015-11-18 |
| Find all providers in zip 88061 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| 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 |
| 1215016415 | Indian Wells Ultrasound Imaging Inc | Clinic/Center | 205 W Boutz Rd. Bldg #1, Las Cruces, NM 88005 | 2006-11-06 |
| 1760795330 | Mercy Regional Medical Center of Durango | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2010-07-23 |
| 1316268030 | Insight Health Corp | Clinic/Center | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-06-16 |
| 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 | SILVER CITY |
| Zip Code | 88061 |
Please comment or provide details below to improve the information on GRANT COUNTY IMAGING CENTER LLC.
| 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.