# 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:** 1205164118
- **Authorized official:** MR. ROBERT C TYK (CFO)
- **Authorized official phone:** (575) 625-3364

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NM | — |
| 261QR0200X | Radiology Clinic/Center | — | NM | Yes |

## Other

- **Enumeration date:** 12/04/2009
- **Last updated:** 04/21/2010