PHC-LOS ALAMOS INC
Hospitals at West Rd, Los Alamos, NM

License number
New Mexico 3086
Category
Hospitals
Type
Rural
Owner
Name: ROBERT N KLEIN
Title: PRESIDENT
Phone: (615) 920-7000
Address
Address 2
3917 West Rd WEST, Los Alamos, NM 87544
330 Seven Springs Way, Brentwood, TN 37027
National Provider ID: 1285701623
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHC-LOS ALAMOS, INC

Brentwood, TN  -  Santa Fe, NM

Doing business as:
PHC-LAS CRUCES, INC
Registration:
Feb 19, 2002
Addresses:
330 7 Spg Way  , Brentwood, TN 37027 (Mailing)
123 E Marcy Street  , Santa Fe, NM 87501 (Foreign)
State ID:
2230274
Business type:
Domestic Profit
Assistant Secretarys:
Donald Bivacca (President),Christy Green (Secretary),Michael Coggin (Treasurer),...
Agent:
Ct Corporation System /,123 E Marcy St, Santa Fe, NM 87501 (Physical)

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