Provider Type Icon

EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE NPI 1386813087


NPI Information

NPI: 1386813087
Provider Name: EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE

Other Name: COMMUNITY DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
31 GAIL HARRIS ST
ROSWELL, NM
ZIP 88203
Phone: (575) 347-3462
Get Directions

EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE is a dental clinic center in Roswell, NM. EASTERN NEW MEXICO UNIVERSITY-ROSWELL BRANCH COMMUNITY COLLEGE NPI is 1386813087. The provider is registered as an organization entity type.
The provider Other Name Is Community Dental Clinic.

The provider's business location address is:

31 GAIL HARRIS ST
ROSWELL, NM
ZIP 88203-190
Phone: (575) 347-3462

The provider's authorized official is Jane Batson .
The authorized official title is Division Chair and has the following contact phone number (575) 624-7233.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 7/10/2008.


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
1261QD0000XClinic/CenterDentalYes

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
1010962MEDICAIDNEW 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.