PREMIER CARE LAS CRUCES (NPI# 1003827650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003827650 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE LAS CRUCES |
| Practice Address |
Stefan C Schaefer Md 2465 S Telshor Blvd Las Cruces NM 88011 |
| Mailing Address |
Po Box 220 Sullivan MO 63080-0220 |
| Practice Telephone | 5055560101 |
| Practice Fax Number | 5055220808 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | CHARLES FEESE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5738602273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | CL00010409 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3211327 | 01 | |
| NM | 85804762 | 05 | |
| OTHER ID NUMBER | 3211327 | 01 |
| Street Address |
STEFAN C SCHAEFER MD 2465 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609944800 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2500 State Hwy 197, Torreon, NM 87013 | 2006-12-04 |
| 1023186707 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2 Ojo Encino Chapter Rd, Ojo Encino, NM 87013 | 2006-12-01 |
| 1831266311 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 15 Navarre, Thoreau, NM 87323 | 2006-11-29 |
| 1811064827 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 06b Main St, Cerrillos, NM 87010 | 2006-11-29 |
| 1326115338 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 74 James Canyon Hwy, Cloudcroft, NM 88317 | 2006-11-29 |
| 1619046950 | Clovis Family Healthcare Center LLC | Non-Pharmacy Dispensing Site | 2301 N Martin Luther King Blvd, Clovis, NM 88101 | 2006-11-08 |
| 1265511711 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 8372 Hwy 4, Canon, NM 87025 | 2006-11-03 |
| 1225117773 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 105 E Pinon, Mountainair, NM 87036 | 2006-11-03 |
| 1972682425 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 801 10th St, Magdalena, NM 87825 | 2006-11-03 |
| 1891874343 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 602 S 4th St, Loving, NM 88256-0491 | 2006-11-03 |
| 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.