SIERRA VISTA HOSPITAL 69 (NPI# 1760446009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760446009 |
| Entity Type | Organization |
| Organization Name | SIERRA VISTA HOSPITAL 69 |
| Practice Address |
800 E 9th Ave Truth Or Consequences NM 87901-1954 |
| Practice Telephone | 5058942111 |
| Practice Fax Number | 5058947659 |
| Mailing Telephone | 5058942111 |
| Mailing Fax Number | 5058947659 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MRS. DOMENICA M RUSH (CEO) |
| Authorized Official Telephone | 5758942111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
3018 | NM | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959506 | Sierra Vista Hospital 69 | Family Medicine | 600 Butte Blvd, Elephant Butte, NM 87935 | 2017-08-28 |
| 1801365317 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, T Or C, NM 87901-1954 | 2018-11-14 |
| 1205893377 | Sierra Vista Hospital 69 | Clinic/Center | 800 East Ninth Street, Truth Or Consequences, NM 87901 | 2006-05-01 |
| 1689638942 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-04-13 |
| Street Address |
800 E 9TH AVE |
| City | TRUTH OR CONSEQUENCES |
| State | NM |
| Zip Code | 87901-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576565 | Enoch Echezona Agunanne | Internal Medicine | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2005-05-24 |
| 1366057556 | Jean Mart Tilde Cofino | Physical Therapist | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2020-09-14 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1891246427 | Saint Thomas | Chronic Disease Hospital | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2016-10-19 |
| 1952795023 | Estela Gregoria Rubin | Nurse Practitioner | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2015-03-26 |
| 1891047536 | Medical Diagnostic Imaging Group Ltd | Radiology | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2012-10-04 |
| 1689906042 | Ee Rad Nm, Inc | Radiology | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2010-02-09 |
| 1659519601 | Alysha Evelina Henry-johnson | Physician Assistant | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2009-01-29 |
| 1417140633 | Kim Keeys Jordan | Physical Therapist | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2007-08-21 |
| 1407896483 | Nathaniel Cobb | Emergency Medicine | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677039 | Cibola General Hospital Corporation | General Acute Care Hospital | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2005-08-23 |
| 1427051002 | Clayton Health Systems Inc | General Acute Care Hospital | 300 Wilson Street, Clayton, NM 88415-0489 | 2005-05-27 |
| 1922626407 | Gila Regional Medical Center | General Acute Care Hospital | 1313 E 32nd St, Silver City, NM 88061-7251 | 2020-07-10 |
| 1902338049 | Taos Health Systems, Inc., Holy Cross Hospital | General Acute Care Hospital | 1397 Weimer Rd, Taos, NM 87571-6253 | 2017-03-29 |
| 1891075446 | Deming Hospital Corporation | General Acute Care Hospital | 900 W Ash St, Deming, NM 88030-4000 | 2011-08-26 |
| 1780912352 | Nor-lea Hospital District | General Acute Care Hospital | 1600 N Main Ave, Lovington, NM 88260-2813 | 2009-11-19 |
| 1881630036 | Nor-lea Hospital District | General Acute Care Hospital | 1600 North Main, Lovington, NM 88260-2813 | 2006-06-22 |
| City | TRUTH OR CONSEQUENCES |
| Zip Code | 87901 |
Please comment or provide details below to improve the information on SIERRA VISTA HOSPITAL 69.
| 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.