MINERS COLFAX MEDICAL CENTER (NPI# 1902143977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902143977 |
| Entity Type | Organization |
| Organization Name | MINERS COLFAX MEDICAL CENTER |
| Other Organization Name | MCMC OUTPATIENT CLINIC |
| Practice Address |
203 Hospital Dr Raton NM 87740-2012 |
| Practice Telephone | 5754453661 |
| Practice Fax Number | 5754457737 |
| Mailing Telephone | 5754453661 |
| Mailing Fax Number | 5754457737 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | BO BEAMES (CEO) |
| Authorized Official Telephone | 5754453661 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINERS COLFAX MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 6143 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00968 | 05 | |
| CO | 94005139 | 05 | |
| NM | 46946 | 05 |
| Other Name | Type Code |
|---|---|
| MCMC OUTPATIENT CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1083931109 | Miners Colfax Medical Center | Medicare Defined Swing Bed Unit | 203 Hospital Dr, Raton, NM 87740-2012 | 2010-04-29 |
| 1871630665 | Miners Colfax Medical Center | Nursing Facility/Intermediate Care Facility | 900 S 6th St, Raton, NM 87740-4224 | 2007-01-31 |
| 1134175433 | Miners Colfax Medical Center | Anesthesiology | 203 Hospital Dr, Raton, NM 87740-2012 | 2006-05-26 |
| Street Address |
203 HOSPITAL DR |
| City | RATON |
| State | NM |
| Zip Code | 87740-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013545110 | Sara Jessanne Lark | Nurse Practitioner | 203 Hospital Dr, Raton, NM 87740-2012 | 2020-04-01 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1275078354 | Ronald S Lotoc | Family Medicine | 203 Hospital Dr, Raton, NM 87740-2012 | 2016-12-28 |
| 1528515509 | Alison Gagnon | Nurse Practitioner | 203 Hospital Dr, Raton, NM 87740-2012 | 2016-09-07 |
| 1649653320 | Erin Pearcy | Physician Assistant | 203 Hospital Dr, Raton, NM 87740-2012 | 2015-06-30 |
| 1780983429 | Michael Lynn Brown | Specialist/Technologist, Other | 203 Hospital Dr, Raton, NM 87740-2012 | 2011-03-21 |
| 1083931109 | Miners Colfax Medical Center | Medicare Defined Swing Bed Unit | 203 Hospital Dr, Raton, NM 87740-2012 | 2010-04-29 |
| 1831347251 | Leonardo E Lopez Jr. | Internal Medicine | 203 Hospital Dr, Raton, NM 87740-2012 | 2008-08-28 |
| 1053511303 | Tropha A Wright | Surgery | 203 Hospital Dr, Raton, NM 87740-2012 | 2007-07-24 |
| 1902818719 | Loretta A Conder | Internal Medicine | 203 Hospital Dr, Raton, NM 87740-2012 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366525537 | La Familia Primary Care P C | Clinic/Center | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
| 1649894544 | Hope Medical Services, LLC | Clinic/Center | 305 Faculty Ln, Corrales, NM 87048-8721 | 2020-06-05 |
| 1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1245798024 | Lovelace Health System, Inc. | Clinic/Center | 460 Saint Michaels Dr Ste 505, Santa Fe, NM 87505-7622 | 2019-03-11 |
| 1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
| 1588136956 | Hope and Healing Counseling LLC | Clinic/Center | 5880 First St., Organ, NM 88052 | 2018-12-26 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
| 1053850784 | Olive Tree Pharmacy, Co. | Clinic/Center | 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124-4893 | 2017-02-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MINERS COLFAX MEDICAL CENTER.
| 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.