PECOS VALLEY OF NEW MEXICO LLC (NPI# 1699918672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699918672 |
| Entity Type | Organization |
| Organization Name | PECOS VALLEY OF NEW MEXICO LLC |
| Practice Address |
2402 W Pierce St Suite 6e Carlsbad NM 88220-3537 |
| Practice Telephone | 5756280312 |
| Mailing Telephone | 5756280312 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | DEBBIE T. BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | B4739 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255492542 | Pecos Valley of New Mexico LLC | Anesthesiology | 5419 N. Lovington Highway, Hobbs, NM 88240 | 2006-12-12 |
| Street Address |
2402 W PIERCE ST SUITE 6E |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178338 | Joseph Daniel Cross | Pharmacist | 2402 W Pierce St, Suite 1a, Carlsbad, NM 88220-3537 | 2005-07-15 |
| 1306392097 | Madeleine Drummond | Nurse Practitioner | 2402 W Pierce St, Suite 2a, Carlsbad, NM 88220-3537 | 2016-08-31 |
| 1073983011 | Crystal Mullins | Nurse Practitioner | 2402 W Pierce St, Suite 6a, Carlsbad, NM 88220-3537 | 2015-10-02 |
| 1265835284 | Apoorva Reddy Tiparti | Pharmacist | 2402 W Pierce St, Suite 1a, Carlsbad, NM 88220-3537 | 2014-10-05 |
| 1104167477 | Jill Fierro | Nurse Practitioner | 2402 W Pierce St, Ste 4a, Carlsbad, NM 88220-3537 | 2013-03-11 |
| 1942554480 | Sandya Surgical Associates | Surgery | 2402 W Pierce St, Suite 5c, Carlsbad, NM 88220-3537 | 2012-11-06 |
| 1245519115 | Raney Pediatrics | Pediatrics | 2402 W Pierce St, Suite 3 C, Carlsbad, NM 88220-3537 | 2011-08-10 |
| 1982905683 | Ida Lee Fraser | Nurse Practitioner | 2402 W Pierce St, Suite 4a, Carlsbad, NM 88220-3537 | 2010-11-11 |
| 1912216755 | Sophia Ann Villalobos | Nurse Practitioner | 2402 W Pierce St, Suite 6f, Carlsbad, NM 88220-3537 | 2010-09-28 |
| 1285812990 | Dilip D. Madnani, M.d., LLC | Otolaryngology | 2402 W Pierce St, Suite 3c, Carlsbad, NM 88220-3537 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184102717 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2650 Gateway Rd, Carlsbad, CA 92009-1773 | 2018-08-06 |
| 1861927923 | Nationwide Prime Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 2575 Pio Pico Dr, Suite100, Carlsbad, CA 92008-1561 | 2017-04-26 |
| 1770017634 | Rose Medical Systems, Inc. | Durable Medical Equipment & Medical Supplies | 2410 Sacada Cir, Suite B, Carlsbad, CA 92009-8051 | 2017-04-18 |
| 1003360983 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 801 N Canal St, Carlsbad, NM 88220-5107 | 2016-08-09 |
| 1811360274 | Carriage 22 | Durable Medical Equipment & Medical Supplies | 5671 Palmer Way, Suite F, Carlsbad, CA 92010-7256 | 2015-11-06 |
| 1902140734 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 | 2012-11-16 |
| 1437463809 | Versatile Resource LLC | Durable Medical Equipment & Medical Supplies | 5751 Palmer Way Ste G8, Carlsbad, CA 92010-7249 | 2010-07-28 |
| 1376871541 | Versatile Resource, LLC | Durable Medical Equipment & Medical Supplies | 5751 Palmer Way Ste G, Carlsbad, CA 92010-7249 | 2009-11-30 |
| 1144451451 | J&g Medical Supplies and Services, Inc. | Durable Medical Equipment & Medical Supplies | 1505 W Pierce St, Suite D, Carlsbad, NM 88220-4020 | 2009-08-04 |
| 1578702627 | San Diego Coastal Dme, Inc. | Durable Medical Equipment & Medical Supplies | 6433 Topmast Dr, Carlsbad, CA 92011-1265 | 2009-02-12 |
| Find all providers in CARLSBAD | ||||
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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.