ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT (NPI# 1578639662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578639662 |
| Entity Type | Organization |
| Organization Name | ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT |
| Other Organization Name | N/A |
| Practice Address |
2000 W 21st St Ste R1 Clovis NM 88101-4098 |
| Mailing Address |
Po Box 299 Portales NM 88130-0299 |
| Practice Telephone | 5759350944 |
| Practice Fax Number | 5759350948 |
| Mailing Telephone | 5753566652 |
| Mailing Fax Number | 5753596827 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | WILLIAM E BOYER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5753563416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| N/A | Doing Business As Name - Organization |
| RGH Clovis Clinic | 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 |
| 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 |
| 1093801292 | Roosevelt County Special Hospital District | Pain Medicine | 42121 Us Hwy 70, Portales, NM 88130-9357 | 2006-10-05 |
| Street Address |
2000 W 21ST ST STE R1 |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484744 | Beverly Anne Shields | Nurse Practitioner | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138244 | Gallup Health Cooperative | Clinic/Center | 600 E Coal Ave, Gallup, NM 87301-6006 | 2020-06-12 |
| 1942557434 | Blue Skies Health Care, Inc | Clinic/Center | 400 Horseshoe Dr Apt A, Deming, NM 88030-5246 | 2012-08-14 |
| 1508021627 | New Mexico Mountain Healthcare | Clinic/Center | 348 St. Rd. 4, San Ysidro, NM 87053 | 2008-07-29 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1578010070 | Canoncito Band of Navajos Health Center, Inc. | Clinic/Center | 129 Medicine Horse Drive, Tohajiilee, NM 87026 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT.
| 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.