PECOS VALLEY OF NEW MEXICO LLC NPI 1831141258

NPI Information

  • NPI: 1831141258
  • Provider Name: PECOS VALLEY OF NEW MEXICO, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 32D2012792
  • Address: 2420 W PIERCE ST
    STE 100
    CARLSBAD, NM
    ZIP 88220
  • Phone: (505) 628-8837

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NPI Details

PECOS VALLEY OF NEW MEXICO, LLC is a general practice in Carlsbad, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PECOS VALLEY OF NEW MEXICO, LLC NPI is 1831141258. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2420 W PIERCE ST
STE 100
CARLSBAD, NM
ZIP 88220-543
Phone: (505) 628-8837

The provider's authorized official is V Karen Flinn .
The authorized official title is Vp and has the following contact phone number (361) 579-0315.

The CLIA number assigned to this NPI record is 32D2012792 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 8/22/2020.

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
1208D00000XGeneral PracticeYes

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
1B4739MEDICAIDNEW 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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