# NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roswell Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114934254
- **Authorized official:** STEPHEN C. PETROVICH (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (615) 296-3000

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 03/16/2012