# ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roosevelt General Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073517058
- **Authorized official:** WILLIAM E BOYER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (575) 356-3416

## Contact information

- **Practice address:** 42121 US HIGHWAY 70, PORTALES, NM 88130-9357
- **Practice address phone:** (575) 359-1800
- **Practice address fax:** (575) 356-9200
- **Mailing address:** PO BOX 868, PORTALES, NM 88130-0868
- **Mailing address phone:** (575) 359-1800
- **Mailing address fax:** (575) 356-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 3061 | NM | Yes |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 04/15/2019