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PHC-LOS ALAMOS INC
NPI 1023147097
Emergency Medicine - Emergency Medical Services in Los Alamos, NM

Active since March 05, 2007CLIA Certified · 2 labs
3917 WEST RD, LOS ALAMOS, NM 87544(505) 662-3452 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phc-los Alamos Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHC-LOS ALAMOS INC (NPI 1023147097) is a healthcare organization registered as an emergency medical services in Los Alamos, New Mexico and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Terrance Dillon, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1023147097
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NamePHC-LOS ALAMOS INC
Location Address3917 WEST RDLos Alamos, NM 87544-2275
Mailing Address330 Seven Springs WayBrentwood, TN 37027-4536 · (615) 920-7000 · Fax (615) 920-8913
Phone(505) 662-3452
Organization SubpartNo
Authorized OfficialTerrance DillonAssistant Secretary · (502) 596-7220
Enumeration DateMarch 5, 2007
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1023147097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
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.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
3917 WEST RD, Los Alamos, NM 87544
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Other Identifiers 1

Medicaid96651067NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 32D0536733

Phc Los Alamos Inc Dba Los Alamos Medical Center · Los Alamos, NM
Active · expires Jun 13, 2027
CLIA Number32D0536733
Laboratory TypeHospital
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Tesha M. Guillory
Laboratory Phone(505) 661-9542
Laboratory LocationPhc Los Alamos Inc Dba Los Alamos Medical Center3917 West Road, Los Alamos, NM 87544
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 32D1089603

Phc Los Alamos Inc Dba The Endoscopy Center A Depa Rtment Of Los Alamos Medical Center · Los Alamos, NM
Active · expires Sep 21, 2026
CLIA Number32D1089603
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorBradley B. Rowberry MD
Laboratory Phone(505) 661-9976
Laboratory LocationPhc Los Alamos Inc Dba The Endoscopy Center A Depa Rtment Of Los Alamos Medical Center1911 Central Avenue, Los Alamos, NM 87544
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER M. SHEPARD M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3917 WEST RD, STE 200
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-4147
DR. LORI S. WHITLEY MD
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-4351
DR. RODNEY JAY BARKER MD
Surgery
3917 WEST RD, SUITE #125
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-3030
DR. ANN CAROLYN LINNEBUR MD
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3917 WEST RD, STE G-02
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-0629
DR. MOLLY VOSBURG MD
Internal Medicine
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
DR. JAMES GORDON KNIGHT M.D.
Urology
3917 WEST RD, STE 138
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-9150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phc-Los Alamos Inc's NPI number?

The NPI number for Phc-Los Alamos Inc is 1023147097. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Phc-Los Alamos Inc located?

Phc-Los Alamos Inc is located at 3917 West Rd, Los Alamos, NM 87544. The listed phone number is (505) 662-3452.

What is Phc-Los Alamos Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Does Phc-Los Alamos Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Phc-Los Alamos Inc was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.