CARLSBAD MEDICAL CENTER LLC (NPI# 1184137093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184137093 |
| Entity Type | Organization |
| Organization Name | CARLSBAD MEDICAL CENTER LLC |
| Other Organization Name | CARLSBAD MEDICAL CENTER |
| Practice Address |
2430 W Pierce St Carlsbad NM 88220-3553 |
| Practice Telephone | 5758874100 |
| Practice Fax Number | 5758874256 |
| Mailing Telephone | 5758874100 |
| Mailing Fax Number | 5758874256 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARLSBAD MEDICAL CENTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 6744 | NM | Hospital Units |
| Other Name | Type Code |
|---|---|
| Carlsbad Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1114949781 | Carlsbad Medical Center LLC | Rehabilitation Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-07-24 |
| 1790722346 | Carlsbad Medical Center LLC | General Acute Care Hospital | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-06-01 |
| 1518904168 | Carlsbad Medical Center LLC | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-06-01 |
| 1972556975 | Carlsbad Medical Center LLC | Skilled Nursing Facility | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-05-18 |
| Street Address |
2430 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723494 | Daniel Forest Taylor | Family Medicine | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2005-07-11 |
| 1740819762 | Carlsbad Medical Center LLC | Clinical Medical Laboratory | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2020-04-02 |
| 1578027710 | Cassandra Groves | Registered Nurse | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2019-01-22 |
| 1578046181 | Cally Vetter | Dietitian, Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-09-10 |
| 1992200141 | Scott Christian Phillips | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-29 |
| 1467956862 | Courtney Allison Wittkower | Physical Therapist | 2430 W Pierce St, Carlsbad, NM 88220-3597 | 2018-03-20 |
| 1073016549 | Andrew Jason Costin | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2018-03-12 |
| 1053827832 | Cameron Scott Peterson | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-12-15 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
| 1053783654 | Julie Phelps | Nurse Practitioner | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2015-10-22 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397497 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 2200 W 21st St, Clovis, NM 88101-2011 | 2005-12-19 |
| 1811594062 | Covenant Hospital Hobbs | Medicare Defined Swing Bed Unit | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2020-10-01 |
| 1144843491 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-05-21 |
| 1285253682 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-04-15 |
| 1891208799 | Lea Regional Hospital LLC | Medicare Defined Swing Bed Unit | 5419 N Lovington Hwy, Hobbs, NM 88240-9100 | 2017-11-14 |
| 1083931109 | Miners Colfax Medical Center | Medicare Defined Swing Bed Unit | 203 Hospital Dr, Raton, NM 87740-2012 | 2010-04-29 |
| 1285811208 | Gallup Indian Medical Center | Medicare Defined Swing Bed Unit | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2008-01-22 |
| 1710196571 | Deming Hospital Corporation | Medicare Defined Swing Bed Unit | 900 W Ash St, Deming, NM 88030-4000 | 2007-05-21 |
| 1598899874 | Nor-lea Hospital District | Medicare Defined Swing Bed Unit | 1600 North Main, Lovington, NM 88260-2813 | 2007-03-16 |
| 1023146917 | Artesia General Hospital | Medicare Defined Swing Bed Unit | 702 N 13th St, Artesia, NM 88210-1166 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CARLSBAD MEDICAL CENTER LLC.
| 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.