CIBOLA GENERAL HOSPITAL CORPORATION NPI 1780677039

NPI Information

NPI: 1780677039
Provider Name: CIBOLA GENERAL HOSPITAL CORPORATION

Doing Business As: CIBOLA GENERAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1016 E ROOSEVELT AVE
GRANTS, NM
ZIP 87020
Phone: (505) 287-5300
Get Directions

CIBOLA GENERAL HOSPITAL CORPORATION is a critical access general acute care hospital in Grants, NM. CIBOLA GENERAL HOSPITAL CORPORATION NPI is 1780677039. The provider is registered as an organization entity type.
The provider Is Doing Business As Cibola General Hospital.

The provider's business location address is:

1016 E ROOSEVELT AVE
GRANTS, NM
ZIP 87020-118
Phone: (505) 287-5300
Fax: (505) 287-5309

The provider's authorized official is Donna Rojas .
The authorized official title is Credentialing Specialist and has the following contact phone number (505) 287-5202.

The CLIA number assigned to this NPI record is 32D1063501 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 8/18/2020.

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	282NC0060X	General Acute Care Hospital	Critical Access	6079	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	000729	MEDICAID	NEW MEXICO
2	321308	OTHER	NEW MEXICO	MEDICARE ID - UNSPECIFIED

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

NPI Synchronization or Removal

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