ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT (NPI# 1093801292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093801292 |
| Entity Type | Organization |
| Organization Name | ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT |
| Other Organization Name | RGH-INTERNAL MEDICINE GROUP |
| Practice Address |
42121 Us Hwy 70 Portales NM 88130-9357 |
| Mailing Address |
Po Box 299 42121 Us Hwy 70 Portales NM 88130-0299 |
| Practice Telephone | 5753566652 |
| Practice Fax Number | 5052263636 |
| Mailing Telephone | 5753566652 |
| Mailing Fax Number | 5052263636 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | DR. LARRY LEAMING (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 5053591800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD2004-0760 | NM | Allopathic & Osteopathic Physicians |
| N | 133V00000X | Dietitian, Registered | 072 | NM | Dietary & Nutritional Service Providers |
| N | 208600000X | Surgery | MD2004-0707 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | PA2004-0028 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD2010-0626 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 87-277 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | CNP-01941 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD2010-055 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A-1584-10 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | CNP00289 | NM | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD2011-022 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1215021696 | 01 | |
| NPI | 1669646006 | 01 | |
| NPI | 1790926814 | 01 | |
| NM | NPI | 1255641338 | 01 |
| NPI | 1780778159 | 01 | |
| NM | NPI | 1013221969 | 01 |
| NPI | 1598750614 | 01 | |
| NPI | 1528010279 | 01 | |
| NPI | 1013046994 | 01 | |
| NPI | 1245292242 | 01 | |
| NPI | 1841242831 | 01 |
| Other Name | Type Code |
|---|---|
| RGH-Internal Medicine Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437570728 | Roosevelt County Special Hospital District | Nurse Anesthetist, Certified Registered | 42121 U.S. 70, Portales, NM 88130-9054 | 2014-01-03 |
| 1235324815 | Roosevelt County Special Hospital District | Home Health | 1412 South Avenue O, Suite B, Portales, NM 88130-7091 | 2007-09-07 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1073517058 | Roosevelt County Special Hospital District | General Acute Care Hospital | 42121 Us Highway 70, Portales, NM 88130-9357 | 2005-06-08 |
| 1154770618 | Roosevelt County Special Hospital District | Clinic/Center | 121 Main St, Melrose, NM 88124-9680 | 2016-06-06 |
| 1316013402 | Roosevelt County Special Hospital District | Clinic/Center | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2006-11-28 |
| Street Address |
42121 US HWY 70 |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-9357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598750614 | Joyce A Roberts | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2005-09-14 |
| 1104179175 | Sunbelt Oasis Emergency Physicians, LLC | Emergency Medicine | 42121 Us Hwy 70, Portales, NM 88130 | 2012-10-16 |
| 1558618850 | Vineela Lavu | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2012-08-06 |
| 1922380708 | Praveen Chava | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2011-09-16 |
| 1255641338 | Javier Eduardo Sosa Rodriguez | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2010-10-07 |
| 1386871218 | New Mexico Em-i Medical Services, PC | Nurse Practitioner | 42121 Us Hwy 70, Portales, NM 88130-0868 | 2009-06-18 |
| 1669646006 | Erika Garcia | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2008-04-16 |
| 1225151988 | Robert Marion Addison | Pharmacist | 42121 Us Hwy 70, Portales, NM 88130-0510 | 2007-04-09 |
| 1144350844 | Eva F Toelle | Nurse Practitioner | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2007-03-06 |
| 1316013402 | Roosevelt County Special Hospital District | Clinic/Center | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669780904 | Wofford Medical Practice LLC | Family Medicine | 421 S Ave C, Ste D, Portales, NM 88130-6328 | 2010-09-21 |
| 1013221969 | Oladotun Olushola Akinmurele | Family Medicine | 42121 Us Hwy 70 N, Portales, NM 88130-9347 | 2010-08-03 |
| 1033264650 | Patricia Green | Family Medicine | 1402 S Avenue O, Portales, NM 88130-7001 | 2007-01-24 |
| 1538103197 | Joel William Sievers | Family Medicine | 304 S Main Ave, Portales, NM 88130-6218 | 2006-06-15 |
| 1598750614 | Joyce A Roberts | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2005-09-14 |
| 1306221122 | Rhys Kurt Crasto | Family Medicine | 42121 Us 70, Portales, NM 88130 | 2015-07-22 |
| 1558618850 | Vineela Lavu | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2012-08-06 |
| 1922380708 | Praveen Chava | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2011-09-16 |
| 1255641338 | Javier Eduardo Sosa Rodriguez | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2010-10-07 |
| 1669646006 | Erika Garcia | Family Medicine | 42121 Us Hwy 70, Portales, NM 88130-9347 | 2008-04-16 |
| Find all providers in PORTALES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.