ROSWELL CLINIC CORP (NPI# 1285804716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285804716 |
| Entity Type | Organization |
| Organization Name | ROSWELL CLINIC CORP |
| Other Organization Name | FAMILY PRACTICE WOUND & OSTOMY CARE CENTER |
| Practice Address |
808 N Union Ave Suite B Roswell NM 88201-3921 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 5756235299 |
| Mailing Telephone | 8664194057 |
| Mailing Fax Number | 6154652895 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | DEBBIE T. BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROSWELL CLINIC CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Family Practice Wound & Ostomy Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396958633 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 | 2007-05-07 |
| 1043423379 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 201, Roswell, NM 88201-5205 | 2007-05-07 |
| 1356553002 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 | 2007-05-04 |
| 1871713909 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 601 W Country Club Rd, Suite 102, Roswell, NM 88201-5224 | 2007-04-30 |
| 1649267618 | Roswell Clinic Corp | Internal Medicine | 350 W Country Club Rd, Ste 201, Roswell, NM 88201-5205 | 2005-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROSWELL CLINIC CORP. | 350 W Country Club Rd, Roswell, NM 88201-5205 |
| Street Address |
808 N UNION AVE SUITE B |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609852961 | David E Mansfield | Family Medicine | 808 N Union Ave, Suite B, Roswell, NM 88201-3921 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375156 | Marietta Eye Optical Inc | Durable Medical Equipment & Medical Supplies | 10485 Alpharetta St, Roswell, GA 30075-3757 | 2020-08-07 |
| 1437790318 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 2730 N Wilshire Blvd, Roswell, NM 88201-6519 | 2019-10-02 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1598193138 | Bonnie Gray-mauldin | Durable Medical Equipment & Medical Supplies | 1408 Harbor Lndg, Roswell, GA 30076-3123 | 2013-10-16 |
| 1205128493 | Blue Line Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 1350 Northmeadow Pkwy, Roswell, GA 30076-5703 | 2011-05-06 |
| 1851537963 | Brandt Corporation | Durable Medical Equipment & Medical Supplies | 10779 Alpharetta Hwy, Suite 200, Roswell, GA 30076-5677 | 2008-12-18 |
| 1265684799 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 313 W Country Club Rd Ste 14, Roswell, NM 88201-5804 | 2008-10-15 |
| 1104007798 | Diabetic Medic, LLC | Durable Medical Equipment & Medical Supplies | 515 Ivey Pointe Way, Roswell, GA 30076-3796 | 2007-11-25 |
| 1174686471 | Pharmacy Home Delivery | Durable Medical Equipment & Medical Supplies | 875 Old Roswell Rd, Suite A700, Roswell, GA 30076-1659 | 2006-12-18 |
| 1013089747 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1295 Hembree Rd Ste A202, Roswell, GA 30076-3809 | 2006-11-15 |
| Find all providers in ROSWELL | ||||
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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.