NM DEPARTMENT OF HEALTH (NPI# 1922094770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922094770 |
| Entity Type | Organization |
| Organization Name | NM DEPARTMENT OF HEALTH |
| Other Organization Name | NEW MEXICO REHABILITATION CENTER |
| Practice Address |
72 Gail Harris Ave Roswell NM 88203-8116 |
| Mailing Address |
72 Gall Harris Roswell NM 88203-8116 |
| Practice Telephone | 5753473400 |
| Practice Fax Number | 5753475177 |
| Mailing Telephone | 5753473410 |
| Mailing Fax Number | 5753475177 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | DR. STEPHEN DORMAN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 5058722880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW MEXICO REHABILITATION CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 284300000X | Special Hospital | 6026 | NM | Hospitals |
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | 6026 | NM | Hospital Units |
| N | 251S00000X | Community/Behavioral Health | 6026 | NM | Agencies |
| Y | 283X00000X | Rehabilitation Hospital | 6026 | NM | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 49528 | 05 | |
| NM | 00000273 | 05 |
| Other Name | Type Code |
|---|---|
| New Mexico Rehabilitation Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063641819 | Nm Department of Health | Substance Abuse Rehabilitation Facility | 100 Calle De Central, Fort Bayard, NM 88036 | 2009-07-14 |
| 1407990500 | Nm Department of Health | Residential Treatment Facility, Emotionally Disturbed Children | 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 | 2007-02-20 |
| Street Address |
72 GAIL HARRIS AVE |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-8116 |
| 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 | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1750438313 | Ryan Paul Carrell | Rehabilitation Hospital | 1225 Sierra Larga Dr Ne, Albuquerque, NM 87112-6568 | 2007-01-05 |
| 1679573778 | San Juan Regional Rehabilitation Hospital, Inc. | Rehabilitation Hospital | 525 S. Schwartz, Farmington, NM 87401-5955 | 2005-07-29 |
| 1679578066 | Rehabilitation Hospital of Southern New Mexico, Inc | Rehabilitation Hospital | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-06-14 |
| 1164876074 | Genesis Healthcare | Rehabilitation Hospital | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2016-04-17 |
| 1255795761 | Lovelace Medical Systems | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2016-04-11 |
| 1770965337 | Jacqueline Martin | Rehabilitation Hospital | 10917 Cartagena Ave Sw, Albuquerque, NM 87121-8274 | 2015-06-19 |
| 1851687347 | Liliana Andrea German | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2011-06-22 |
| 1336393271 | Lovelace | Rehabilitation Hospital | 4600 Montgomery Blvd Ne, Albuquerque, NM 87109-1210 | 2008-11-05 |
| 1700042439 | Lovelace Health Systems LLC | Rehabilitation Hospital | 505 Elm St Ne, Albuquerque, NM 87102-2500 | 2008-08-01 |
| 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.