NEW MEXICO JUNIOR COLLEGE SPORTS MEDICINE - NPI 1740637867

Q: What is New Mexico Junior College's NPI number?

The NPI number for New Mexico Junior College is 1740637867. It was assigned to this organization in the NPPES registry on May 18, 2016. The provider is doing business as New Mexico Junior College Sports Medicine.

Q: What is New Mexico Junior College's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About New Mexico Junior College Sports Medicine NPPES

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

NEW MEXICO JUNIOR COLLEGE SPORTS MEDICINE (NPI 1740637867) is a healthcare organization registered as a pediatrics in Dallas, Texas and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1740637867

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNEW MEXICO JUNIOR COLLEGE

Location Address5050 SPRING VALLEY RDDallas, TX 75244-3909

Mailing Address5317 N Lovington HwyHobbs, NM 88240-9121 · (575) 392-4510

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialMouzon BassAgent · (972) 367-4845

Enumeration DateMay 18, 2016

✔ NPI 1740637867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5050 SPRING VALLEY RD, Dallas, TX 75244

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Other Names 1

Doing Business AsNew Mexico Junior College Sports Medicine

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

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 32D1028508

New Mexico Junior College · Hobbs, NM

Active · expires Oct 25, 2027

CLIA Number32D1028508

Laboratory TypeSchool/Student Health Service

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorNadia N. Cole

Laboratory Phone(575) 492-2745

Laboratory LocationNew Mexico Junior College5317 Lovington Highway,caster Activity Center #136, Hobbs, NM 88240

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 6

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

KANSAS WESLEYAN UNIVERSITY

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