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Organization

NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC

Active
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Organization

NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC

Active
Other names
Roswell Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN C. PETROVICH (SENIOR VICE PRESIDENT)
(615) 296-3000
Entity
Organization

Contact information

Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(505) 627-7000
(505) 627-7007
Mailing address
117E 19TH ST, ROSWELL, NM 88201-5151
(575) 625-3308
(575) 627-7007

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
1T 3252
NM
282N00000X
General Acute Care Hospital
Primary
—
NULL

Other

Enumeration date
08/02/2006
Last updated
03/16/2012
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