STATE OF NEW MEXICO


Address: 72 Gail Harris St, Roswell, NM 88203-8116
Phone: 5753473400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 284300000X Special Hospital 6026 NM Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
NM 0273 05

Other Provider/Organization Names

Other Name Type Code
new mexico rehabilitation center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 72 GAIL HARRIS ST
City ROSWELL
State NM
Zip Code 88203-8116

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 284300000X
Grouping Hospitals
Classification Special Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922094770 Nm Department of Health Special Hospital 72 Gail Harris Ave, Roswell, NM 88203-8116 2005-09-26

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City ROSWELL
Zip Code 88203

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Dataset Information

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.

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