PHC-LOS ALAMOS INC
NPI 1023147097
Emergency Medicine - Emergency Medical Services in Los Alamos, NM
NPI Status: Active since March 05, 2007
Contact Information
3917 WEST RD
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 662-3452
- Organization
- Emergency Medicine
- Emergency Medical Services
- CLIA Number: 32D0536733
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 06-13-2027
About PHC-LOS ALAMOS INC
This page provides the complete NPI Profile along with additional information for Phc-los Alamos Inc, a provider established in Los Alamos, New Mexico operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1023147097 assigned on March 2007. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Phc-los Alamos Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Terrance Dillon (Assistant Secretary)
- NPI
- 1023147097
- Provider Name
- PHC-LOS ALAMOS INC
- Entity Type
- Organization
- Location Address
- 3917 WEST RD LOS ALAMOS, NM 87544
- Location Phone
- (505) 662-3452
- Mailing Address
- 330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
- Mailing Phone
- (615) 920-7000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-05-2007
- Last Update Date
- 04-25-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 4 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 5 | 208800000X | Allopathic & Osteopathic Physicians | Urology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96651067 | MEDICAID (05) | NM |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D0536733
- Facility Type
- Hospital
- Certificate Effective Date
- June 14, 2025
- Certificate Expiration Date
- June 13, 2027
- Laboratory Director
- DR. TESHA M. GUILLORY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Phc-los Alamos Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for PHC-LOS ALAMOS INC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023147097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
LOS ALAMOS, NM 87544
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023147097, enumerated as an "organization" on March 05, 2007.
The provider is located at 3917 WEST RD LOS ALAMOS, NM 87544 and the phone number is (505) 662-3452.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
