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NM DEPARTMENT OF HEALTH NPI 1922094770


NPI Information

NPI: 1922094770
Provider Name: NM DEPARTMENT OF HEALTH

Other Name: NEW MEXICO REHABILITATION CENTER

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

CLIA Number: 32D0716026

Address:
72 GAIL HARRIS AVE
ROSWELL, NM
ZIP 88203
Phone: (575) 347-3400
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NM DEPARTMENT OF HEALTH is a rehabilitation hospital in Roswell, NM. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. NM DEPARTMENT OF HEALTH NPI is 1922094770. The provider is registered as an organization entity type.
The provider Other Name Is New Mexico Rehabilitation Center.

The provider's business location address is:

72 GAIL HARRIS AVE
ROSWELL, NM
ZIP 88203-116
Phone: (575) 347-3400
Fax: (575) 347-5177

The provider's authorized official is Stephen Dorman .
The authorized official title is Chief Medical Officer and has the following contact phone number (505) 872-2880.

The CLIA number assigned to this NPI record is 32D0716026 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 3/28/2017.


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
1284300000XSpecial Hospital6026NEW MEXICONo
2276400000XRehabilitation, Substance Use Disorder Unit6026NEW MEXICONo
3251S00000XCommunity/Behavioral Health6026NEW MEXICONo
4283X00000XRehabilitation Hospital6026NEW 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
100000273MEDICAIDNEW MEXICO
249528MEDICAIDNEW MEXICO
3323026MEDICARE UPINNEW MEXICO
42257806MEDICARE UPINNEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.