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General NPI Number Information
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NPI Number | 1215005129
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Entity Type | Organization
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Legal Business Name | PHC-LOS ALAMOS INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 3917 WEST RD
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2275
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Country | US
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Telephone | 505-662-4201
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Fax | 505-661-9598
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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