MMC CANCER CENTER – NPI #1376774489
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

MMC CANCER CENTER is a provider located in LAS CRUCES, NM. NPPES has assigned the NPI number 1376774489 to MMC CANCER CENTER on August 06, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MMC CANCER CENTER” is a dba name, the actual legal business name for this organization is PHC LAS CRUCES. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MMC CANCER CENTER below.

NPI Profile for
PHC LAS CRUCES

NPI Number
1376774489
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHC LAS CRUCES
Doing Business As (dba): MMC CANCER CENTER
Primary location
2530 S TELSHOR BLVD
SUITE 201
LAS CRUCES, NM 88011-4907
Phone: (575) 521-5277 Fax:
Mailing address
2450 S TELSHOR BLVD
LAS CRUCES, NM 88011-5069
Phone: (575) 521-5277 Fax:
Organization Subpart
No
Authorized Official
ANGIE MANGUM
DIRECTOR
Phone: (575) 521-5277
Updated
Identifiers

Identifiers for MMC CANCER CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM26001373
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.