| Foothills Medical Center, Rom, 1st Care, Foothills Imaging | |
|
3530 Foothills Rd Suite N Las Cruces NM 88011-3626 | |
| (575) 532-6054 | |
| (575) 532-0215 |
| Full Name | Foothills Medical Center, Rom, 1st Care, Foothills Imaging |
|---|---|
| Speciality | Family Medicine |
| Location | 3530 Foothills Rd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Brian P Delahoussaye (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 5755326054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Medical Center, Rom, 1st Care, Foothills Imaging Po Box 1420 Las Cruces NM 88004-1420 Ph: (575) 532-6054 | Foothills Medical Center, Rom, 1st Care, Foothills Imaging 3530 Foothills Rd Suite N Las Cruces NM 88011-3626 Ph: (575) 532-6054 |
| NPI Number | 1205981339 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 12/01/2016 |
| Medicare PECOS PAC ID | 8628963329 |
|---|---|
| Medicare Enrollment ID | O20040220000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205981339 | NPI | - | NPPES |
| Provider Name | Brian P Delahoussaye |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861493991 PECOS PAC ID: 7214822816 Enrollment ID: I20100113000456 |
| Provider Name | Perry W Reding |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720087422 PECOS PAC ID: 6305826223 Enrollment ID: I20100730000883 |
| Provider Name | Vernon Villanueva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912445214 PECOS PAC ID: 8224390620 Enrollment ID: I20180323000368 |
| Provider Name | Angela M Wooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649762394 PECOS PAC ID: 1153674148 Enrollment ID: I20181020000594 |
| Provider Name | Ryan Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912476102 PECOS PAC ID: 8325381486 Enrollment ID: I20190514000745 |
| Provider Name | Rito Nelson Jasmin Daan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992351647 PECOS PAC ID: 0042643868 Enrollment ID: I20191210001217 |
| Provider Name | Emily Jean Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720736804 PECOS PAC ID: 6103295563 Enrollment ID: I20221207002614 |
Southwest Center On Aging Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2467 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-647-8366 Fax: 575-647-8381 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Harry Bass, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2425 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-522-0330 Fax: 575-522-8620 | |
Memorial Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2450 S Telshor Blvd, Las Cruces, NM 88011 Phone: 575-521-5385 | |
Rhsnm Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4441 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-521-6400 | |
Smart Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Missouri Ave Ste 12, Las Cruces, NM 88011 Phone: 575-522-6900 Fax: 575-522-8891 | |
App Of New Mexico Hm Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 E Lohman Ave, Las Cruces, NM 88011 Phone: 575-556-7600 Fax: 629-216-0568 |