# DEMING HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEMING HOSPITAL CORPORATION
- **Other names:** Mimbres Memorial Nursing Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073584579
- **Legal business name:** DEMING HOSPITAL CORPORATION
- **Authorized official:** RANDY MICHAEL COOPER (SVP FINANCE OP/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 221-3840

## Contact information

- **Practice address:** 900 W ASH ST, DEMING, NM 88030-4000
- **Practice address phone:** (575) 546-5800
- **Practice address fax:** (575) 543-6907
- **Mailing address:** 900 W ASH ST, DEMING, NM 88030-4000
- **Mailing address phone:** (575) 546-5800
- **Mailing address fax:** (575) 543-6907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 5158 | NM | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 08/11/2020