CARLSBAD MEDICAL CENTER LLC (NPI# 1790722346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790722346 |
| 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 |
| Mailing Address |
Po Box 847505 Dallas TX 75284-7505 |
| Practice Telephone | 5058874100 |
| Practice Fax Number | 5058874256 |
| Mailing Telephone | 5058874100 |
| Mailing Fax Number | 5058874256 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-08-29 |
| Authorized Official Name | PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 6744 | NM | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | B3186 | 05 | |
| NM | C0154 | 05 |
| 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 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1114949781 | Carlsbad Medical Center LLC | Rehabilitation Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-07-24 |
| 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 |
| 1184137093 | Carlsbad Medical Center LLC | Medicare Defined Swing Bed Unit | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-11-14 |
| 1073036174 | Devin Holt | Nurse Anesthetist, Certified Registered | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2017-07-20 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164611091 | James Wiley Mcfetridge | General Acute Care Hospital | 2839 Cebu Pl, Carlsbad, CA 92009-5905 | 2007-10-16 |
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|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1558838607 | Albuquerque Er LLC | General Acute Care Hospital | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2018-10-26 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1770952939 | Aia,pc | General Acute Care Hospital | 113 Adkins Ct, Clovis, NM 88101-9373 | 2015-09-17 |
| 1396124616 | Presbyterian Medical Service | General Acute Care Hospital | 8109 Tangerine Pl Nw, Albuquerque, NM 87120-5587 | 2015-05-19 |
| 1770841728 | Unm Hospital | General Acute Care Hospital | Unm Hospital Pediatric Neurology, 2211 Lomas Blvd., 3rd Floor, Albuquerque, NM 87131-0001 | 2012-04-27 |
| 1598056749 | University of New Mexico School of Medicine | General Acute Care Hospital | 13305 Wilderness Pl Ne, Albuquerque, NM 87111-9221 | 2011-04-22 |
| 1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
| 1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
| 1235376609 | Traci Gae Blair | General Acute Care Hospital | 5232 Saratoga Ct Nw, Albuquerque, NM 87120-2296 | 2009-01-07 |
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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.