Rio Grande Emergency Medicine Pa

LBN: Rio Grande Emergency Medicine Pa
Rio Grande Emergency Medicine Pa is an health care organization with primary practice located at 2450 S Telshor Blvd , Las Cruces NM 88011-5069. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Rio Grande Emergency Medicine Pa can be contacted via phone (706) 354-5770, or through Willoughby, Kelly via phone (706) 354-5770.

Contact Information

Primary practice address
2450 S Telshor Blvd Las Cruces NM 88011-5069
Phone: (706) 354-5770
Fax: (706) 354-5769
Website:
Map and Directions
Authorized official contact:
Name: Willoughby, Kelly
Phone: (706) 354-5770

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1518063643
LBN Legal business name Rio Grande Emergency Medicine Pa
DBA Doing business as
Authorized official Willoughby, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Sep 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518063643 NPPES
New Mexico MEDICAID 78138701

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