MERCY REGIONAL MEDICAL CENTER OF DURANGO (NPI# 1760795330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760795330 |
| Entity Type | Organization |
| Organization Name | MERCY REGIONAL MEDICAL CENTER OF DURANGO |
| Other Organization Name | MERCY DIAGNOSTIC SERVICES- AZTEC |
| Practice Address |
604 S Rio Grande Ave Aztec NM 87410-2260 |
| Mailing Address |
1010 Three Springs Blvd Durango CO 81301-8296 |
| Practice Telephone | 5053345640 |
| Practice Fax Number | 5053345649 |
| Mailing Telephone | 9702474311 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | KIRK A DIGNUM (CEO/PRESIDENT) |
| Authorized Official Telephone | 9702474311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
1628.1 | NM | Ambulatory Health Care Facilities |
| Y | 291U00000X | Clinical Medical Laboratory | 1628.1 | NM | Laboratories |
| Other Name | Type Code |
|---|---|
| Mercy Diagnostic Services- Aztec | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609076843 | Mercy Regional Medical Center of Durango | Clinic/Center | 10 Purgatory Blvd, Durango, CO 81301-9627 | 2007-07-24 |
| 1992995716 | Mercy Regional Medical Center of Durango | Preventive Medicine | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2007-07-27 |
| 1821219015 | Mercy Regional Medical Center of Durango | Anesthesiology | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2007-05-02 |
| 1104871896 | Mercy Regional Medical Center of Durango | Hospitalist | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2006-05-23 |
| 1720031834 | Mercy Regional Medical Center of Durango | Internal Medicine | 1010 Three Springs Blvd, Suite 110, Durango, CO 81301-8296 | 2006-05-18 |
| 1124070727 | Mercy Regional Medical Center of Durango | Urology | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2006-05-16 |
| 1336199082 | Mercy Regional Medical Center of Durango | Internal Medicine | 1010 Three Springs Blvd, Suite 245, Durango, CO 81301-8296 | 2006-05-12 |
| Street Address |
604 S RIO GRANDE AVE |
| City | AZTEC |
| State | NM |
| Zip Code | 87410-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871667089 | Sid Mosiman | Physical Therapist | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-11-20 |
| 1891304671 | Catholic Health Initiatives Colorado | Internal Medicine | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2020-07-28 |
| 1366051153 | Catholic Health Initiatives Colorado | Internal Medicine | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2020-07-28 |
| 1770123382 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2020-01-11 |
| 1487064838 | Malcolm Jewell | Physician Assistant | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2014-05-06 |
| 1700106218 | Sara Burcham | Physician Assistant | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2010-06-07 |
| 1063741163 | Aztec Urgent Care, LLC | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2009-12-18 |
| 1033278965 | Elvira Payton | Physical Therapy Assistant | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-12-06 |
| 1750457834 | Roger Ronald Collins | Specialist/Technologist | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095448 | Kendill May Jones | Technician | 403 Andrew D, Aztec, NM 87410 | 2019-10-23 |
| 1831346469 | Suzette Lorraine Gordon | Psychologist | 1607 W. Aztec Blvd., Aztec Municipal Schools, Aztec, NM 87410 | 2008-08-26 |
| 1730392101 | Jack Fields Sona II | Pharmacist | Jack Sona, Rph, 100 Llano St, Aztec, NM 87410 | 2007-05-08 |
| 1093888380 | Bryan Standley Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410 | 2006-11-16 |
| 1467531921 | Katherine Andersen | Acupuncturist | 606 South Rio Grande Ave., Suite B, Aztec, NM 87410 | 2006-11-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1649262502 | Kare Inc | Pharmacy | 100 Llano St., Aztec, NM 87410 | 2005-08-17 |
| 1871023044 | Rebekah Leann French | Nurse Practitioner | 120 Llano St, Aztec, NM 87410 | 2017-06-19 |
| 1316486855 | Sarah Anne Thomason | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410 | 2017-02-16 |
| 1629257092 | Karen L Vogel | Speech-Language Pathologist | 455 N Light Plant Rd, Aztec, NM 87410-1517 | 2007-11-01 |
| Find all providers in zip 87410 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1780059717 | Southwest Labs LLC | Clinical Medical Laboratory | 4261 Balloon Park Rd Ne, Albuquerque, NM 87109-5802 | 2015-12-02 |
| 1669858700 | Nex Step, Inc. | Clinical Medical Laboratory | 518 Old Santa Fe Trl, Suite 1, Pmb 220, Santa Fe, NM 87505-0398 | 2015-07-30 |
| 1225424567 | Recovery Services of New Mexico | Clinical Medical Laboratory | 5659 Jefferson St Ne, Suite E, Albuquerque, NM 87109-3458 | 2015-04-14 |
| 1255725339 | Ann Owens Tafoya | Clinical Medical Laboratory | 1301 Kentucky St Se, Albuquerque, NM 87108-5108 | 2015-03-26 |
| 1740615855 | Elizabeth Amanda Stenger | Clinical Medical Laboratory | 10444 Calle Avila Nw, Albuquerque, NM 87114-1804 | 2013-09-08 |
| 1821381773 | Alethea Laboratories Inc | Clinical Medical Laboratory | 410 E. Foster Road, Las Cruces, NM 88005-3209 | 2011-05-25 |
| 1083946222 | Metwest Inc | Clinical Medical Laboratory | 1121 Mall Dr, Las Cruces, NM 88011-8102 | 2010-02-12 |
| 1467783753 | Matrix Genomics, Inc. | Clinical Medical Laboratory | 3900 Paseo Del Sol, Santa Fe, NM 87507-4072 | 2010-01-26 |
| Find all providers with the same taxonomy | ||||
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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.