LOVELACE HEALTH SYSTEM LLC (NPI# 1609273283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609273283 |
| Entity Type | Organization |
| Organization Name | LOVELACE HEALTH SYSTEM LLC |
| Practice Address |
1112 N Main St Roswell NM 88201-5010 |
| Mailing Address |
1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 |
| Practice Telephone | 5756274200 |
| Practice Fax Number | 5756274212 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966011 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | STEPHEN C PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARDENT LEGACY HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lovelace Health Care Center | Doing Business As Name - Organization |
| Lovelace Medical Group Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
| 1972878361 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2012-03-19 |
| 1902084809 | Lovelace Health System LLC | Radiology | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2008-02-04 |
| 1306914213 | Lovelace Health System LLC | Internal Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2006-11-30 |
| Street Address |
1112 N MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060835 | Marilyn Nishitani | Nurse Practitioner | 1112 N Main St, Roswell, NM 88201-5010 | 2005-08-16 |
| 1255588067 | Linda Y Jones | Nurse Practitioner | 1112 N Main St, Roswell, NM 88201-5010 | 2008-08-22 |
| 1699796862 | Linda M. Blunt | Family Medicine | 1112 N Main St, Roswell, NM 88201-5010 | 2006-07-22 |
| 1952350050 | Stephen Douglas Evans | Emergency Medicine | 1112 N Main St, Roswell, NM 88201-5010 | 2006-05-08 |
| 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 | 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 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.