MEMORIAL MEDICAL CENTER


Address: 2450 S Telshor Blvd, Las Cruces, NM 88011-5069
Phone: 5755215385

MEMORIAL MEDICAL CENTER (NPI# 1023423266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023423266
Entity Type Organization
Organization Name MEMORIAL MEDICAL CENTER
Practice Address 2450 S Telshor Blvd
Las Cruces
NM 88011-5069
Practice Telephone 5755215385
Mailing Telephone 5755215385
Enumeration Date 2014-06-26
Last Update Date 2014-06-26
Authorized Official Name DONNA MADRID (ASST COORD)
Authorized Official Telephone 5755215385
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine RS2014-0578 NM Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538719836 Memorial Medical Center Nursing Care 118 Trinity Shores Drive, Port Lavaca, TX 77979 2019-09-18
1497153589 Memorial Medical Center Family Medicine 1016 N. Virginia St., Port Lavaca, TX 77979-0000 2014-12-05
1588075964 Memorial Medical Center Skilled Nursing Facility 2100 Dove Crossing Ln, Navasota, TX 77868-5247 2014-05-19
1275717894 Memorial Medical Center Skilled Nursing Facility 2750 Miller Ranch Rd, Pearland, TX 77584-9763 2007-12-18
1679549968 Memorial Medical Center Audiologist 644 North Second Street, Springfield, IL 62781-0001 2006-02-27
1124099098 Memorial Medical Center General Acute Care Hospital 701 N !st St, Mab 528, Springfield, IL 62781-0001 2006-01-30
1922092790 Memorial Medical Center Skilled Nursing Facility 1008 Enterprise Blvd, Rockport, TX 78382-3201 2005-09-07
1568017481 Memorial Medical Center Clinic/Center 701 N 1st St, Springfield, IL 62781-0001 2019-08-07
1053964742 Memorial Medical Center Orthopaedic Surgery 815 N Virginia St, Port Lavaca, TX 77979-3025 2019-07-22
1164954806 Memorial Medical Center Internal Medicine 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 2017-03-31

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MEMORIAL MEDICAL CENTER 8260 Atlee Rd Ste 1203, Mechanicsville, VA 23116-1844
System for Award Management (SAM) Entities MEMORIAL MEDICAL CENTER INC 1615 Maple Ln, Ashland, WI 54806-3610
System for Award Management (SAM) Entities MEMORIAL MEDICAL CENTER OF EAST TEXAS 1201 W Frank Ave, Lufkin, TX 75904-3357

Office Location

Street Address 2450 S TELSHOR BLVD
City LAS CRUCES
State NM
Zip Code 88011-5069

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619973187 Jenifer Lichtenfels Pediatrics 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 2005-06-21
1669080560 Leonard Nathaniel Sampath Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-07-16
1396362034 Sartaj Singh Brar Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-06-29
1497372387 Alexander Topete Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 2020-06-26
1619594421 Eva Roxanna Campos Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-06-26
1437774759 Bryan Wellington Messenger Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-06-12
1558986745 Anthony Cohn Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 2020-06-12
1205451739 Elena Liang Liang Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-06-10
1750906285 Nagapavani Kandagari Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-06-10
1205450293 Temitope Ade-oshifogun Family Medicine 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2020-06-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427420223 Sara Guidetti Family Medicine 3080 Breland Drive, Las Cruces, NM 88001 2015-10-20
1619260064 Reyes Ismael Cuevas Family Medicine 3485 Northrise Dr Ste A, Las Cruces, NM 88011-6839 2011-05-18
1184936478 Rashmi Narasimhamurthy Family Medicine 1151 N Roadrunner Pkwy, Apt #403, Las Cruces, NM 88011-8052 2010-07-02
1972765592 John J Tucker II Family Medicine 4672 N Sonoma Ranch Blvd Ste B, Las Cruces, NM 88011-7271 2008-06-25
1912173691 R L Marquez Md Pa Family Medicine 1205 S Solano, Las Cruces, NM 88001 2008-05-02
1336318591 Imran Raza Family Medicine 3320 Rinconada Blvd, Ste 2, Las Cruces, NM 88011-7198 2008-02-21
1790960383 Saul D Burciaga-molinar Family Medicine 1180 Mall Dr Ste B, Las Cruces, NM 88011-8192 2008-01-02
1538342860 Delilah Ancheta Stampp Family Medicine 1135 S. Main Street, Suite B, Las Cruces, NM 88005 2007-12-10
1316134349 Umberto I Garcia Md P A Family Medicine 1200 S Telshor Blvd, Las Cruces, NM 88011-4747 2007-10-03
1669663696 Aroboyi Veronica Imoisi Family Medicine 4038 Pepper Post Ave, Las Cruces, NM 88011-4088 2007-08-06
Find all providers in LAS CRUCES

Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

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.

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