STATE OF NEW MEXICO (NPI# 1578075016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578075016 |
Entity Type | Organization |
Organization Name | STATE OF NEW MEXICO |
Other Organization Name | NEW MEXICO REHABILITATION CENTER |
Practice Address |
72 Gail Harris St Roswell NM 88203-8116 |
Practice Telephone | 5753473400 |
Practice Fax Number | 5753475177 |
Mailing Telephone | 5753473400 |
Mailing Fax Number | 5753475177 |
Enumeration Date | 2017-10-24 |
Last Update Date | 2017-10-24 |
Authorized Official Name | JOSE LUIS GURROLA (ADMINISTRATOR) |
Authorized Official Telephone | 5753473410 |
Is Organization Subpart | Y |
Parent Organization Name | STATE OF NEW MEXICO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | 6026 | NM | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 0273 | 05 |
Other Name | Type Code |
---|---|
new mexico rehabilitation center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
1457539322 | State of New Mexico | Public Health or Welfare | 2025 S Pacheco St, Santa Fe, NM 87505-3991 | 2008-02-04 |
1982730669 | State of New Mexico | Skilled Nursing Facility | 41 Fort Bayard Road, Santa Clara, NM 88026 | 2007-02-26 |
1578609459 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-01-29 |
1508914896 | State of New Mexico | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-01-05 |
1942287370 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2005-12-28 |
1518294107 | State of New Mexico | Psychiatric Hospital | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2009-11-03 |
1578730230 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2008-05-13 |
1972784544 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-11-23 |
1124211404 | State of New Mexico | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2007-08-21 |
Street Address |
72 GAIL HARRIS ST |
City | ROSWELL |
State | NM |
Zip Code | 88203-8116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952659435 | Fatima Granados | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2012-08-15 |
1023618436 | Jose Cruz Zavala | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-10-27 |
1235761024 | Seth Gordon | Physical Therapist | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-02-10 |
1730728809 | Alexandra Beck | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2020-01-06 |
1861033409 | Angel R Gordo | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2019-10-04 |
1639654502 | Monica Marie Saavedra | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2018-09-26 |
1245713288 | Marianne Noel Moser | Physical Therapist | 72 Gail Harris St, Roswell, NM 88203-8116 | 2018-09-14 |
1134667496 | Alexandra Hancock | Social Worker | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-02-07 |
1023569472 | Stephan K. Hancock | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2016-10-20 |
1417302563 | Sandra Berenice Mendoza | Counselor | 72 Gail Harris St, Roswell, NM 88203-8116 | 2016-04-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
Find all providers in zip 88203 |
Taxonomy Code | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
Notes: Source: AHA Guide, Registration section, p. A5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922094770 | Nm Department of Health | Special Hospital | 72 Gail Harris Ave, Roswell, NM 88203-8116 | 2005-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609258656 | University of New Mexico | Special Hospital | 9125 Copper Ave Ne Apt 617, Albuquerque, NM 87123-1077 | 2015-06-26 |
1669536603 | Unm Hospital | Special Hospital | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2006-12-21 |
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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.