MMC CANCER CENTER (NPI# 1669736328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669736328 |
| Entity Type | Organization |
| Organization Name | MMC CANCER CENTER |
| Practice Address |
2530 S Telshor Blvd Ste 201 Las Cruces NM 88011-4975 |
| Practice Telephone | 5755211554 |
| Practice Fax Number | 5755561754 |
| Mailing Telephone | 5755211554 |
| Mailing Fax Number | 5755561754 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | MR. PAUL HERZOG (CEO) |
| Authorized Official Telephone | 5755212258 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0110081 | NM | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEW MEXICO LICENSE FROM THE COUNSELING AND THERAPY PRACTICE BOAR | LPCC 0110081 | 01 |
| Street Address |
2530 S TELSHOR BLVD STE 201 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851533210 | Traci Michelle White | Pharmacist | 2530 S Telshor Blvd Ste 201, Las Cruces, NM 88011-4907 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054118 | White Mountain Wellness LLC | Psychiatric Unit | 159 Mescalero Trl Ste 5, Ruidoso, NM 88345-6089 | 2018-08-23 |
| 1649446089 | University of New Mexico | Psychiatric Unit | Department of Psychiatry Som Msc09 5030, Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2008-05-06 |
| 1801296900 | Va Hospital | Psychiatric Unit | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-08-26 |
| 1912238965 | Heather Mcculloch, Lmft, LLC | Psychiatric Unit | 190 Central Park Sq, Suite 216, Los Alamos, NM 87544-4001 | 2010-01-14 |
| 1518137041 | Lovelace Health System Inc | Psychiatric Unit | 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | 2008-03-12 |
| 1982805222 | Artesia General Hospital | Psychiatric Unit | 702 N 13th St, Artesia, NM 88210-1166 | 2007-05-31 |
| 1619094109 | Gila Regional Medical Center | Psychiatric Unit | 1313 E 32nd St, Silver City, NM 88061 | 2007-03-22 |
| 1619002300 | Unm Hospital | Psychiatric Unit | 1001 Yale Blvd Ne, Albuquerque, NM 87106-3825 | 2007-02-22 |
| 1154477941 | St. Vincent Hospital | Psychiatric Unit | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-01-26 |
| 1881742161 | University Psychiatric Hospital-ip | Psychiatric Unit | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2007-01-05 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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| 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.