PHC-LOS ALAMOS INC NPI 1023147097

NPI Information

  • NPI: 1023147097
  • Provider Name: PHC-LOS ALAMOS INC
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • CLIA Number: 32D0536733
  • Address: 3917 WEST RD
    LOS ALAMOS, NM
    ZIP 87544
  • Phone: (505) 662-3452

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NPI Details

PHC-LOS ALAMOS INC is an emergency medical services emergency medicine in Los Alamos, NM. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. PHC-LOS ALAMOS INC NPI is 1023147097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3917 WEST RD
LOS ALAMOS, NM
ZIP 87544-275
Phone: (505) 662-3452

The provider's authorized official is Terrance Dillon .
The authorized official title is Assistant Secretary and has the following contact phone number (502) 596-7220.

The CLIA number assigned to this NPI record is 32D0536733 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 4/25/2022.

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
1207RX0202XInternal MedicineMedical OncologyNo
2207V00000XObstetrics & GynecologyNo
32085R0202XRadiologyDiagnostic RadiologyNo
4208600000XSurgeryNo
5208800000XUrologyNo
6207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
196651067MEDICAIDNEW 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: 11/21/2025

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