RENAL CARE GROUP SOUTH NEW MEXICO, LLC (NPI# 1619037017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619037017 |
| Entity Type | Organization |
| Organization Name | RENAL CARE GROUP SOUTH NEW MEXICO, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE LAS CRUCES SOUTH |
| Practice Address |
2525 S Telshor Blvd Suite B Las Cruces NM 88011-5071 |
| Practice Telephone | 5055326066 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-12 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Las Cruces South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174635072 | Renal Care Group South New Mexico, LLC | Clinic/Center | 814 W Adobe Dr, Deming, NM 88030-4464 | 2006-08-31 |
| 1265544167 | Renal Care Group South New Mexico, LLC | Clinic/Center | 2578 Medical Dr, Alamogordo, NM 88310-8710 | 2006-08-31 |
| 1447362348 | Renal Care Group South New Mexico, LLC | Clinic/Center | 3875 Foothills Rd, Las Cruces, NM 88011-4620 | 2006-08-31 |
| Street Address |
2525 S TELSHOR BLVD SUITE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890702 | Elizabeth O. Palmer | Internal Medicine | 2525 S Telshor Blvd, Bildg 14 Suite 102, Las Cruces, NM 88011-5071 | 2005-06-08 |
| 1396176319 | Selene Marie Reyes | Nurse Practitioner | 2525 S Telshor Blvd, Suite B2, Las Cruces, NM 88011-5071 | 2013-12-01 |
| 1376831032 | Hugh J. Hammant, Phd | Psychologist | 2525 S Telshor Blvd, Ste. 15-0202, Las Cruces, NM 88011-5071 | 2011-07-15 |
| 1700171758 | Hugh Joseph Hammant | Psychologist | 2525 S Telshor Blvd, Suite 15-202, Las Cruces, NM 88011-5071 | 2011-06-17 |
| 1841596608 | Sonda Sue Boulware | Nurse Practitioner | 2525 S Telshor Blvd, Building 14, Suite 102, Las Cruces, NM 88011-5071 | 2011-01-26 |
| 1689976268 | Sun View Imaging, LLC | Radiology | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-12-02 |
| 1316268030 | Insight Health Corp | Clinic/Center | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-06-16 |
| 1326373531 | Cynthia Jean Stechmeyer | Counselor | 2525 S Telshor Blvd, #15202, Las Cruces, NM 88011-5071 | 2009-10-05 |
| 1194998138 | Sunview Holdings Inc | Radiology | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2008-04-10 |
| 1124216015 | Charles D. Collins, Md, Facs | Surgery | 2525 S Telshor Blvd, Suite 16-108, Las Cruces, NM 88011-5071 | 2007-10-05 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457829269 | Valley Home Dialysis | Clinic/Center | 3900 E Lohman Ave Ste B1, Las Cruces, NM 88011-8268 | 2018-11-09 |
| 1235636283 | Usrc Las Cruces LLC | Clinic/Center | 250 E Amador Ave, Las Cruces, NM 88001-3649 | 2018-04-06 |
| 1942643861 | Foss Dialysis LLC | Clinic/Center | 2550 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2013-04-10 |
| 1447362348 | Renal Care Group South New Mexico, LLC | Clinic/Center | 3875 Foothills Rd, Las Cruces, NM 88011-4620 | 2006-08-31 |
| 1912952169 | Isd Renal Inc | Clinic/Center | 3961 E Lohman Ave, Ste 29, Las Cruces, NM 88011-8272 | 2006-05-24 |
| 1568733913 | Las Cruces Home Therapies | Clinic/Center | 2919 Hillrise Dr, Las Cruces, NM 88011-4701 | 2012-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866108 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 2050 Knudsen Ave, Ste C, Farmington, NM 87401-9070 | 2020-09-18 |
| 1306499405 | Trc Four Corners Dialysis Clinics LLC | Clinic/Center | 4525 Rowe Ave, Farmington, NM 87402-3013 | 2019-07-18 |
| 1124523857 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 5221 Las Soleras Dr, Santa Fe, NM 87507-2101 | 2018-03-26 |
| 1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1124477112 | Home Dialysis of Santa Fe, LLC | Clinic/Center | 2904 Rodeo Park Dr E Ste 300a-1, Santa Fe, NM 87505-6305 | 2016-06-09 |
| 1811358609 | Solid Rock Dialysis, LLC | Clinic/Center | 1580 Highway 264, Suite A, Gallup, NM 87301-3302 | 2016-03-08 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
| 1952770984 | Usrc Clovis, LLC | Clinic/Center | 4024 N Prince St, Clovis, NM 88101-9704 | 2015-09-21 |
| 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.