OTERO COMMUNITY CANCER CENTER NPI 1689788911

NPI Information

NPI: 1689788911
Provider Name: OTERO COMMUNITY CANCER CENTER
Classification: Clinic/Center - 261QX0203X
Entity Type: Organization

Specialization: Oncology, Radiation

Address:
2559 MEDICAL DR
SUITE G
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 437-8126
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OTERO COMMUNITY CANCER CENTER is an oncology and radiation clinic center in Alamogordo, NM. OTERO COMMUNITY CANCER CENTER NPI is 1689788911. The provider is registered as an organization entity type.

The provider's business location address is:

2559 MEDICAL DR
SUITE G
ALAMOGORDO, NM
ZIP 88310-703
Phone: (575) 437-8126
Fax: (575) 431-8205

The provider's authorized official is Stefan Korec .
The authorized official title is Physician/ceo and has the following contact phone number (575) 437-8126.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 1/4/2008.

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
1	261QX0203X	Clinic/Center	Oncology, Radiation			Yes

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
1	F46293	MEDICARE UPIN	NEW MEXICO
2	B93426	MEDICARE UPIN	NEW MEXICO
3	P00215961	OTHER	NEW MEXICO	RR MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

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