Provider Demographics
NPI:1235925520
Name:MESILLA VALLEY HOSPICE, INC
Entity type:Organization
Organization Name:MESILLA VALLEY HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MASTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-525-5703
Mailing Address - Street 1:299 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3223
Mailing Address - Country:US
Mailing Address - Phone:575-525-5703
Mailing Address - Fax:575-525-5774
Practice Address - Street 1:299 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-3223
Practice Address - Country:US
Practice Address - Phone:575-525-5703
Practice Address - Fax:575-525-5774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty