SIERRA VISTA HOSPITAL 69 (NPI# 1801365317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801365317 |
| Entity Type | Organization |
| Organization Name | SIERRA VISTA HOSPITAL 69 |
| Practice Address |
800 E 9th Ave T Or C NM 87901-1954 |
| Practice Telephone | 5757431244 |
| Practice Fax Number | 5758947659 |
| Mailing Telephone | 5757431244 |
| Mailing Fax Number | 5758947659 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | MARSHA ANNE TAYLOR (MEDICAL STAFF MANAGER) |
| Authorized Official Telephone | 5757431244 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 39804577 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 E 9th Ave, T Or C, NM 879011954 | 5757431244 | 5758947659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959506 | Sierra Vista Hospital 69 | Family Medicine | 600 Butte Blvd, Elephant Butte, NM 87935 | 2017-08-28 |
| 1205893377 | Sierra Vista Hospital 69 | Clinic/Center | 800 East Ninth Street, Truth Or Consequences, NM 87901 | 2006-05-01 |
| 1689638942 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-04-13 |
| 1760446009 | Sierra Vista Hospital 69 | General Acute Care Hospital | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-04-13 |
| Street Address |
800 E 9TH AVE |
| City | T OR C |
| State | NM |
| Zip Code | 87901-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528627874 | Rhea Ann Hazen | Nurse Practitioner | 800 E 9th Ave, T Or C, NM 87901-1961 | 2019-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697868 | Osuna Medical Associates, Pa | Clinic/Center | 5740 Osuna Rd Ne, Albuquerque, NM 87109-2527 | 2008-04-24 |
| 1780147454 | Lovelace Unm Rehabilitation Hospital LLC Pain Clinc | Clinic/Center | 500 Walter St Ne Ste 213, Albuquerque, NM 87102-2543 | 2019-04-10 |
| 1518478866 | Diego J Gonzalez Md PC | Clinic/Center | 500 Walter St Ne Ste 309, Albuquerque, NM 87102-2562 | 2017-10-13 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1568992600 | Pain & Spine Clinic of New Mexico PC | Clinic/Center | 4401 E Lohman Ave, Las Cruces, NM 88011 | 2017-06-12 |
| 1063785921 | Mesilla Valley Pain Clinic, LLC | Clinic/Center | 1240 S Telshor Blvd Ste A, Las Cruces, NM 88011-4731 | 2012-02-22 |
| 1922305580 | Smith Chiropractic, PC | Clinic/Center | 1707 E 20th St, Farmington, NM 87401-4309 | 2011-02-17 |
| 1962537027 | John S Caskey M.d., LLC | Clinic/Center | 1421 Luisa St, Unit I, Santa Fe, NM 87505-4073 | 2007-02-22 |
Please comment or provide details below to improve the information on SIERRA VISTA HOSPITAL 69.
| 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.