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ACTION-OCCMED-M.M.I. P.C. NPI 1386823227


NPI Information

NPI: 1386823227
Provider Name: ACTION-OCCMED-M.M.I., P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
530 N TELSHOR BLVD
SUITE B
LAS CRUCES, NM
ZIP 88011
Phone: (575) 556-1011
Get Directions

ACTION-OCCMED-M.M.I., P.C. is a primary care clinic center in Las Cruces, NM. ACTION-OCCMED-M.M.I., P.C. NPI is 1386823227. The provider is registered as an organization entity type.

The provider's business location address is:

530 N TELSHOR BLVD
SUITE B
LAS CRUCES, NM
ZIP 88011-243
Phone: (575) 556-1011
Fax: (575) 532-9581

The provider's authorized official is Edwin Lee Kennedy .
The authorized official title is President and has the following contact phone number (575) 556-1011.

The enumeration date for this NPI number is 10/28/2007 and was last updated on 10/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0100XClinic/CenterOccupational Medicine87-104NEW MEXICONo
2261QP2300XClinic/CenterPrimary Care87-184NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A03175MEDICARE UPINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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