NOR-LEA HOSPITAL DISTRICT NPI 1174559082

NPI Information

NPI: 1174559082
Provider Name: NOR-LEA HOSPITAL DISTRICT

Doing Business As: TATUM MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 32D2024895

Address:
310 N MAIN
TATUM, NM
ZIP 88267
Phone: (575) 398-2111
Get Directions

NOR-LEA HOSPITAL DISTRICT is a rural health clinic center in Tatum, NM. NOR-LEA HOSPITAL DISTRICT NPI is 1174559082. The provider is registered as an organization entity type.
The provider Is Doing Business As Tatum Medical Clinic.

The provider's business location address is:

310 N MAIN
TATUM, NM
ZIP 88267-802
Phone: (575) 398-2111
Fax: (575) 398-6112

The provider's authorized official is David B Shaw .
The authorized official title is Ceo/administration and has the following contact phone number (575) 396-6611.

The CLIA number assigned to this NPI record is 32D2024895 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 5/1/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		6260	NEW MEXICO	No
2	261QR1300X	Clinic/Center	Rural Health	6260	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45260	MEDICAID	NEW MEXICO
2	323984	MEDICARE OSCAR/CERTIFICATION	NEW 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: 5/5/2024

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