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NPI 1457636706 · live from the CMS NPI Registry

Alteon Health New Mexico LLC

Emergency Medicine in Hobbs, NM. National Provider Identifier 1457636706, active.

NPI record

NPI1457636706 Type 2 · organization
StatusActive
Primary specialtyEmergency Medicine 207P00000X
Practice location5419 N Lovington Hwy, Hobbs, NM 88240
Practice phone844-474-4019
Mailing address4535 Dressler Rd Nw, Canton, OH 44718
EnumeratedOctober 19, 2011
Last updatedFebruary 24, 2023
Authorized officialMelissa Reese, Provider Enrollment Officer
Other namesIsland Medical Loe LLC; Pegasus Emergency Group Loe LLC

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant363A00000X—
Nurse Practitioner363L00000X—
Emergency Medicine primary207P00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.