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PECOS VALLEY OF NEW MEXICO LLC
NPI 1699918672
Durable Medical Equipment & Medical Supplies in Carlsbad, NM

Active since April 07, 2009CLIA Certified · 2 labs
2402 W PIERCE ST, SUITE 6E, CARLSBAD, NM 88220(575) 628-5066(575) 628-0493 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pecos Valley Of New Mexico Llc NPPES

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

PECOS VALLEY OF NEW MEXICO LLC (NPI 1699918672) is a healthcare organization registered as a durable medical equipment & medical supplies in Carlsbad, New Mexico and active in the NPI registry since April 2009. The organization holds 2 active CLIA laboratory certificates and lists Jennifer L Jackson, Sr. Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1699918672
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePECOS VALLEY OF NEW MEXICO LLC
Location Address2402 W PIERCE ST, SUITE 6ECarlsbad, NM 88220-3537
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7354 · Fax (615) 628-6877
Phone(575) 628-5066
Fax(575) 628-0493
Organization SubpartNo
Authorized OfficialJennifer L JacksonSr. Director Provider Enrollment · (615) 465-3334
Enumeration DateApril 7, 2009
Last NPPES UpdateMay 10, 2021
NPPES CertifiedMay 10, 2021
✔ NPI 1699918672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

2402 W PIERCE ST, Carlsbad, NM 88220
Open in Google Maps ↗

Other Identifiers 1

MedicaidB4739NM

CLIA Laboratory Certificates CMS CLIA 3

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 Waiver 32D2280185

Pecos Valley Of New Mexico LLC Dba Pecos Valley Primary Care · Carlsbad, NM
Active · expires Apr 13, 2027
CLIA Number32D2280185
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorJulio Munoz
Laboratory Phone(575) 628-5013
Laboratory LocationPecos Valley Of New Mexico LLC Dba Pecos Valley Primary Care2420 W Pierce St Ste 205B, Carlsbad, NM 88220
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2119255

Pecos Valley Urgent Care · Carlsbad, NM
Active · expires Sep 21, 2026
CLIA Number32D2119255
Laboratory TypeUrgent Care
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorStephanie Gomez
Laboratory Phone(575) 628-5066
Laboratory LocationPecos Valley Urgent Care3823 National Parks Hwy, Carlsbad, NM 88220
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2105423

Pecos Valley Family Clinic · Carlsbad, NM
Expired · Nov 23, 2025
CLIA Number32D2105423
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2023
Certificate Expiration DateNovember 23, 2025
Laboratory DirectorRegan Leyva
Laboratory Phone(575) 628-5066
Laboratory LocationPecos Valley Family Clinic2420 W Pierce St Ste 100, Carlsbad, NM 88220
CLIA data matches this NPI record on: Phone
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.

MR. JOSEPH DANIEL CROSS PHARMACIST
Pharmacist
2402 W PIERCE ST, SUITE 1A
CARLSBAD, NM 88220
Eddy County (505) 887-6611
MR. JOHN (JACK) SILVIO VOLPATO JR. RPH,PHC
Pharmacist
2402 W PIERCE ST, 1-A
CARLSBAD, NM 88220
Eddy County (505) 887-6611
MRS. HEIDI K. GOODEY RPH
Pharmacist
2402 W PIERCE ST
CARLSBAD, NM 88220
Eddy County (505) 885-2979
MR. NEAL CLIFFORD DUNGAN
Pharmacist
2402 W PIERCE ST, SUITE 2B
CARLSBAD, NM 88220
Eddy County (505) 885-2979
MS. LYNDA S. BICKERSTAFF RN, MSN, CNS, CWOCN
Clinical Nurse Specialist
2402 W PIERCE ST, SUITE 5A
CARLSBAD, NM 88220
Eddy County (575) 887-5321
DR. MICHAEL G. LIM M.D.
Ophthalmology
2402 W PIERCE ST, SUITE 1B
CARLSBAD, NM 88220
Eddy County (575) 887-5325
JEREMIAH KENT RANEY MD
Pediatrics
2402 W PIERCE ST, STE 3C
CARLSBAD, NM 88220
Eddy County (575) 887-0530
MR. WALTER A. ALLERY MS/CCC-A
Audiologist-Hearing Aid Fitter
2402 W PIERCE ST, SUITE 3C
CARLSBAD, NM 88220
Eddy County (505) 234-1531

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 Pecos Valley Of New Mexico LLC's NPI number?

The NPI number for Pecos Valley Of New Mexico LLC is 1699918672. It was assigned to this organization in the NPPES registry on April 7, 2009.

Where is Pecos Valley Of New Mexico LLC located?

Pecos Valley Of New Mexico LLC is located at 2402 W Pierce St Suite 6E, Carlsbad, NM 88220. The listed phone number is (575) 628-5066.

What is Pecos Valley Of New Mexico LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Pecos Valley Of New Mexico LLC 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 Pecos Valley Of New Mexico LLC was last updated on May 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.