ROSWELL HOSPITAL CORPORATION (NPI# 1447221742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447221742 |
Entity Type | Organization |
Organization Name | ROSWELL HOSPITAL CORPORATION |
Other Organization Name | EASTERN NEW MEXICO MEDICAL CENTER |
Practice Address |
405 W Country Club Rd Roswell NM 88201-5209 |
Mailing Address |
Po Box 842091 Dallas TX 75284-2091 |
Practice Telephone | 5756228170 |
Practice Fax Number | 5756248726 |
Enumeration Date | 2006-01-27 |
Last Update Date | 2020-04-14 |
Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
Authorized Official Telephone | 6159254565 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 6687 | NM | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | B2978 | 05 |
Other Name | Type Code |
---|---|
Eastern New Mexico Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
1548880495 | Roswell Hospital Corporation | Clinical Medical Laboratory | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2020-04-21 |
1245674712 | Roswell Hospital Corporation | Nutritionist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2013-04-26 |
1427001759 | Roswell Hospital Corporation | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-05-18 |
1568433431 | Roswell Hospital Corporation | Medicare Defined Swing Bed Unit | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-30 |
1477524346 | Roswell Hospital Corporation | Psychiatric Unit | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-30 |
Street Address |
405 W COUNTRY CLUB RD |
City | ROSWELL |
State | NM |
Zip Code | 88201-5209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003802463 | Hany Nagy Yassa | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2005-09-21 |
1548880495 | Roswell Hospital Corporation | Clinical Medical Laboratory | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2020-04-21 |
1699306977 | Evan Brian Whipple | Nurse Anesthetist, Certified Registered | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2020-01-27 |
1457902215 | Capital Anesthesia Solutions of New Mexico LLC | Nurse Anesthetist, Certified Registered | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2019-09-24 |
1265081806 | Toni Pearce | Nurse Practitioner | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2019-09-06 |
1215408497 | Aanu Ogunbanjo | Hospitalist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-12-16 |
1851875066 | Miao Yang | Registered Nurse | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-09-24 |
1053802892 | Ruben A. Supan, LLC | Nurse Practitioner | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-05-29 |
1295289437 | Truitt Radiation Oncology Services | Radiology | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-08-04 |
1447602834 | Arinola Odumusi | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-07-08 |
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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 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184073231 | North Fulton Regional | General Acute Care Hospital | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2016-06-09 |
1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
1831538743 | Jacob Holloway | General Acute Care Hospital | 4500 Hospital Blvd Ste 230, Roswell, GA 30076 | 2013-06-25 |
1972878361 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2012-03-19 |
1346518529 | Chaves County New Mexico Hospital Company LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2011-12-02 |
1114934254 | New Mexico Medical Surgical Hospital LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2006-08-02 |
1750312997 | Wellstar North Fulton Hospital, Inc | General Acute Care Hospital | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
1558838607 | Albuquerque Er LLC | General Acute Care Hospital | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2018-10-26 |
1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
1770952939 | Aia,pc | General Acute Care Hospital | 113 Adkins Ct, Clovis, NM 88101-9373 | 2015-09-17 |
1396124616 | Presbyterian Medical Service | General Acute Care Hospital | 8109 Tangerine Pl Nw, Albuquerque, NM 87120-5587 | 2015-05-19 |
1770841728 | Unm Hospital | General Acute Care Hospital | Unm Hospital Pediatric Neurology, 2211 Lomas Blvd., 3rd Floor, Albuquerque, NM 87131-0001 | 2012-04-27 |
1598056749 | University of New Mexico School of Medicine | General Acute Care Hospital | 13305 Wilderness Pl Ne, Albuquerque, NM 87111-9221 | 2011-04-22 |
1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
1235376609 | Traci Gae Blair | General Acute Care Hospital | 5232 Saratoga Ct Nw, Albuquerque, NM 87120-2296 | 2009-01-07 |
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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.