Southwest Pediatric Care, Llc
LBN: Southwest Pediatric And Family Care, Llc
Southwest Pediatric Care, Llc is an health care organization with primary practice located at 1020 S 8Th St Suite A, Deming NM 88030-4007. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Southwest Pediatric And Family Care, Llc can be contacted via phone (575) 936-4350, or through Roque, Joel Rene via phone (575) 936-4350.
Contact Information
Primary practice address
1020 S 8Th St Suite A
Deming NM 88030-4007
Phone: (575) 936-4350
Fax: (575) 936-4351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1881089886 |
|---|---|
| LBN Legal business name | Southwest Pediatric And Family Care, Llc |
| DBA Doing business as | Southwest Pediatric Care, Llc |
| Authorized official | Roque, Joel Rene |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2015 |
| Last updated | May 16th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881089886 | NPPES |
| New Mexico | MEDICAID | 5558582 | |
| New Mexico | MEDICAID | 965048 | |
| New Mexico | Other | 1376626564 | |
| New Mexico | MEDICAID | 48836893 |
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