SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT (NPI# 1073749487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073749487 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL COLFAX COUNTY SPECIAL HOSPITAL DISTRICT |
Other Organization Name | COLFAX GENERAL LTC |
Practice Address |
615 Prospect Ave Springer NM 87747 |
Mailing Address |
615 Prospect Avenue Springer NM 87747 |
Practice Telephone | 5754833300 |
Practice Fax Number | 5754833344 |
Mailing Telephone | 5754833300 |
Mailing Fax Number | 5754833344 |
Enumeration Date | 2009-06-01 |
Last Update Date | 2009-06-01 |
Authorized Official Name | WILLIAM NORRIS (ADMINISTRATOR) |
Authorized Official Telephone | 5754833301 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
COLFAX GENERAL LTC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215163639 | South Central Colfax County Special Hospital District | Clinic/Center | 11 Elliott Barker Road, Angel Fire, NM 87710 | 2009-06-01 |
1588890909 | South Central Colfax County Special Hospital District | Clinical Medical Laboratory | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
Street Address |
615 PROSPECT AVE |
City | SPRINGER |
State | NM |
Zip Code | 87747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508842758 | Presbyterian Healthcare Services | Emergency Medicine | 615 Prospect Ave, Springer, NM 87747 | 2005-12-20 |
1588890909 | South Central Colfax County Special Hospital District | Clinical Medical Laboratory | 615 Prospect Ave, Springer, NM 87747 | 2009-06-01 |
1114903374 | Presbyterian Healthcare Services | Emergency Medicine | 615 Prospect Ave, Springer, NM 87747 | 2005-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962050179 | Gayle Ann Bustos | Registered Nurse | 311 Miranda Ave., Springer, NM 87747 | 2019-08-30 |
1669930392 | El Centro Family Health | Clinic/Center | 1401 8th Street, Springer, NM 87747 | 2019-03-12 |
1790225795 | Mesa Group LLC | Durable Medical Equipment & Medical Supplies | 308 Colbert Ave, Springer, NM 87747 | 2017-02-24 |
1831637636 | Bestcare Pharmacy Springer LLC | Pharmacy | 307 Maxwell Ave, #b, Springer, NM 87747 | 2017-02-01 |
1629233317 | El Centro Family Health | Clinic/Center | 502 4th Street, Springer, NM 87747 | 2008-07-23 |
1043393077 | Tony Pesavento | Pharmacy | 825 4th Street, Springer, NM 87747 | 2006-10-23 |
1215941380 | Patricia Anne Whitman | Nurse Practitioner | 200 Cimarron, Springer, NM 87747 | 2006-07-27 |
1447216619 | Jo Anne Jackson | Speech-Language Pathologist | 1401 8th St., Springer, NM 87747 | 2006-04-25 |
1174039754 | Petra Marie Laumbach | Registered Nurse | Po Box 308, Springer, NM 87747-0308 | 2017-12-19 |
1811099070 | Martin Trujillo | General Practice | 711 Second Street, Springer, NM 87747-0483 | 2006-09-01 |
Find all providers in zip 87747 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164639027 | El Castillo Retirement Residences | Nursing Facility/Intermediate Care Facility | 250 E Alameda St, Santa Fe, NM 87501-2186 | 2007-05-17 |
1457456576 | Zia Home Care | Nursing Facility/Intermediate Care Facility | 144 Scottsdale Dr, Clovis, NM 88101-2739 | 2006-09-13 |
1124059084 | South Valley Care Center, LLC | Nursing Facility/Intermediate Care Facility | 1629 Bowe Ln Sw, Albuquerque, NM 87105-3772 | 2006-07-06 |
1730117722 | Los Alamos Retirement Center, Inc. | Nursing Facility/Intermediate Care Facility | 1011 Sombrillo Ct, Los Alamos, NM 87544-3246 | 2006-06-29 |
1043200454 | Brookhaven Nursing Home | Nursing Facility/Intermediate Care Facility | 813 4th St, Las Vegas, NM 87701-4422 | 2005-10-26 |
1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
1235132820 | Sierra Health Care Inc | Nursing Facility/Intermediate Care Facility | 1400 N Silver St, Truth Or Consequences, NM 87901-1957 | 2005-05-27 |
1356663298 | Mescalero Indian Hospital | Nursing Facility/Intermediate Care Facility | 318 Abalone Loop, Mescalero, NM 88340-0318 | 2010-02-19 |
1871630665 | Miners Colfax Medical Center | Nursing Facility/Intermediate Care Facility | 900 S 6th St, Raton, NM 87740-4224 | 2007-01-31 |
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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.