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ROSWELL HOSPITAL CORPORATION NPI 1568433431


NPI Information

NPI: 1568433431
Provider Name: ROSWELL HOSPITAL CORPORATION

Doing Business As: EASTERN NEW MEXICO MEDICAL CENTER

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
405 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (505) 622-8170
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ROSWELL HOSPITAL CORPORATION is a medicare defined swing bed unit in Roswell, NM. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. ROSWELL HOSPITAL CORPORATION NPI is 1568433431. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastern New Mexico Medical Center.

The provider's business location address is:

405 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201-209
Phone: (505) 622-8170
Fax: (505) 624-8726

The provider's authorized official is Paula Lalor .
The authorized official title is Director/delegated Official and has the following contact phone number (629) 215-3953.

The enumeration date for this NPI number is 1/30/2006 and was last updated on 4/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed Unit6687NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B2978MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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