ROSWELL HOSPITAL CORPORATION (NPI# 1225161474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225161474 |
| Entity Type | Organization |
| Organization Name | ROSWELL HOSPITAL CORPORATION |
| Other Organization Name | VALLEY HEALTH CLINIC OF EASTERN NEW MEXICO |
| Practice Address |
116 East 2nd Street Dexter NM 88230 |
| Practice Telephone | 5057345817 |
| Practice Fax Number | 5057346550 |
| Mailing Telephone | 5057345817 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2018-01-08 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROSWELL HOSPITAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
6687 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | S3929 | 05 |
| Other Name | Type Code |
|---|---|
| Valley Health Clinic of Eastern New Mexico | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548880495 | Roswell Hospital Corporation | Clinical Medical Laboratory | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2020-04-21 |
| 1245674712 | Roswell Hospital Corporation | Nutritionist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2013-04-26 |
| 1427001759 | Roswell Hospital Corporation | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-05-18 |
| 1568433431 | Roswell Hospital Corporation | Medicare Defined Swing Bed Unit | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-30 |
| 1477524346 | Roswell Hospital Corporation | Psychiatric Unit | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-30 |
| 1447221742 | Roswell Hospital Corporation | General Acute Care Hospital | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-01-27 |
| Street Address |
116 EAST 2ND STREET |
| City | DEXTER |
| State | NM |
| Zip Code | 88230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962942854 | Sharon White | Registered Nurse | 100 N Lincoln, Dexter, NM 88230 | 2017-02-27 |
| 1245620400 | Teresa Gray | Social Worker | 100 North Lincoln, Dexter, NM 88230 | 2015-01-27 |
| 1225442122 | Samuel Chaves | Occupational Therapist | 404 S. Elford, Dexter, NM 88230 | 2014-06-18 |
| 1114053469 | City of Dexter | Ambulance | 200 E. 2nd St, Dexter, NM 88230 | 2007-02-23 |
| 1275628117 | Clarissa Renee Otero | Social Worker | 100 E Monrill, Dexter, NM 88230 | 2006-10-04 |
| 1831186303 | Jonathan Wolkwitz | Family Medicine | 116 E. 2nd, Dexter, NM 88230 | 2005-09-30 |
| 1699804328 | Vivian S. Matlack | Speech-Language Pathologist | 100 N. Lincoln, Dexter, NM 88230 | 2007-03-06 |
| 1104086404 | Orlando Roberto Chavez | Occupational Therapy Assistant | 403 W 3rd Street, Dexter, NM 88230-0008 | 2008-06-11 |
| 1336278068 | Patricia Hagelstein | Speech-Language Pathologist | 100 N. Lincoln, Dexter, NM 88230-0159 | 2007-03-06 |
| 1942634423 | David Salcido Martinez | Social Worker | 100 N. Lincoln, Dexter, NM 88230-0159 | 2013-09-03 |
| Find all providers in zip 88230 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710923651 | The Lakeside Clinic | Clinic/Center | 38843 Dexter Rd, Dexter, OR 97431-9775 | 2006-06-21 |
| 1700821212 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2006-06-18 |
| 1104264068 | Peacehealth | Clinic/Center | 38843 Dexter Rd, Dexter, OR 97431-9600 | 2013-06-12 |
| 1457660045 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 2025 W Business Us Highway 60, Dexter, MO 63841-2879 | 2010-09-29 |
| 1760704878 | Peacehealth | Clinic/Center | 38843 Dexter Rd, Dexter, OR 97431-0110 | 2010-02-17 |
| 1083848923 | Stoddard County Family Care LLC | Clinic/Center | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2009-05-06 |
| 1629111729 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2007-02-15 |
| 1790828812 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2007-02-15 |
| 1710047618 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 1300 N One Mile Rd, Suite 2, Dexter, MO 63841-1042 | 2006-12-11 |
| 1083633374 | William Newton Memorial Hospital | Clinic/Center | 204 North Main, Dexter, KS 67038 | 2006-07-18 |
| Find all providers in DEXTER | ||||
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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.