MESCALERO INDIAN HOSPITAL (NPI# 1356663298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356663298 |
| Entity Type | Organization |
| Organization Name | MESCALERO INDIAN HOSPITAL |
| Practice Address |
318 Abalone Loop Mescalero NM 88340-0318 |
| Mailing Address |
Po Box 210 Mescalero NM 88340-0210 |
| Practice Telephone | 5754644441 |
| Practice Fax Number | 5754644422 |
| Mailing Telephone | 5754644441 |
| Mailing Fax Number | 5754644422 |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |
| Authorized Official Name | DORLYNN SIMMONS (CEO) |
| Authorized Official Telephone | 5754644441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 107572 | CO | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649593443 | Mescalero Indian Hospital | Clinic/Center | 318 Abalone Loop, Mescalero, NM 88340 | 2010-03-08 |
| 1891886065 | Mescalero Indian Hospital | General Acute Care Hospital | 318 Abalone Loop, Mescalero, NM 88340-0210 | 2006-09-27 |
| Street Address |
318 ABALONE LOOP |
| City | MESCALERO |
| State | NM |
| Zip Code | 88340-0318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957994 | Carmen Delia Cosme | Pediatrics | 318 Abalone Loop, Mescalero, NM 88340 | 2006-05-11 |
| 1326671751 | Matthew Ward | Pharmacist | 318 Abalone Loop, Mescalero, NM 88340 | 2020-02-13 |
| 1639643232 | Jiali He | Pharmacist | 318 Abalone Loop, Mescalero, NM 88340 | 2019-01-16 |
| 1265839633 | Luna Amelingmeier | General Practice | 318 Abalone Loop, Mescalero Hospital, Mescalero, NM 88340 | 2014-12-01 |
| 1649593443 | Mescalero Indian Hospital | Clinic/Center | 318 Abalone Loop, Mescalero, NM 88340 | 2010-03-08 |
| 1295955490 | Barbara Bartram | Technician, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2007-04-27 |
| 1104046309 | Ida L Saenz | Technician, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2007-04-27 |
| 1609935931 | Suzanna Duran | Spec/Tech, Pathology | 318 Abalone Loop, Mescalero, NM 88340 | 2006-12-06 |
| 1881752970 | Linda M Miles | General Practice | 318 Abalone Loop, Mescalero, NM 88340-0210 | 2006-12-04 |
| 1831288729 | Deborah Bee | Registered Nurse | 318 Abalone Loop, Mescalero, NM 88340 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346748282 | Mescalero Apache Tribe | Community/Behavioral Health | 311 War Bonnet Drive, Mescalero, NM 88340 | 2018-01-25 |
| 1487030755 | Marjorie Hogue | Pharmacist | 308 Abalone Loop, Mescalero, NM 88340 | 2015-08-10 |
| 1043641558 | Mescalero Apache Tribe | Ambulance | 25220 Highway 70, Mescalero, NM 88340 | 2013-12-09 |
| 1255681987 | Reginelle Tortilla | Case Manager/Care Coordinator | 249 Mountain Drive, Mescalero, NM 88340 | 2012-09-10 |
| 1689967051 | Yolanda Shemika Jenkins | Registered Nurse | 318 Abaloone Loop, Mescalero, NM 88340 | 2011-05-18 |
| 1972811487 | Pamela Rose Evans | Case Manager/Care Coordinator | 249 White Mtn. Dr., Mescalero, NM 88340 | 2010-09-17 |
| 1306162821 | David E Hernandez | Counselor | 148 Cottonwood Dr., Mescalero, NM 88340 | 2010-04-08 |
| 1235454018 | Steve A Loepz | Counselor | 148 Cottonwood Drive, Mescalero, NM 88340 | 2010-04-05 |
| 1457584666 | Valerie Vanaya Comanche | Case Manager/Care Coordinator | 249 White Mountain Dr., Mescalero, NM 88340 | 2009-09-03 |
| 1093948291 | Alicia Renee Chico | Case Manager/Care Coordinator | 249 White Mountain Drive, Mescalero, NM 88340 | 2009-09-03 |
| Find all providers in zip 88340 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164639027 | El Castillo Retirement Residences | Nursing Facility/Intermediate Care Facility | 250 E Alameda St, Santa Fe, NM 87501-2186 | 2007-05-17 |
| 1457456576 | Zia Home Care | Nursing Facility/Intermediate Care Facility | 144 Scottsdale Dr, Clovis, NM 88101-2739 | 2006-09-13 |
| 1124059084 | South Valley Care Center, LLC | Nursing Facility/Intermediate Care Facility | 1629 Bowe Ln Sw, Albuquerque, NM 87105-3772 | 2006-07-06 |
| 1730117722 | Los Alamos Retirement Center, Inc. | Nursing Facility/Intermediate Care Facility | 1011 Sombrillo Ct, Los Alamos, NM 87544-3246 | 2006-06-29 |
| 1043200454 | Brookhaven Nursing Home | Nursing Facility/Intermediate Care Facility | 813 4th St, Las Vegas, NM 87701-4422 | 2005-10-26 |
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1235132820 | Sierra Health Care Inc | Nursing Facility/Intermediate Care Facility | 1400 N Silver St, Truth Or Consequences, NM 87901-1957 | 2005-05-27 |
| 1073749487 | South Central Colfax County Special Hospital District | Nursing Facility/Intermediate Care Facility | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
| 1871630665 | Miners Colfax Medical Center | Nursing Facility/Intermediate Care Facility | 900 S 6th St, Raton, NM 87740-4224 | 2007-01-31 |
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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.