# ROSWELL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245674712
- **Authorized official:** VICKI EATON (PATIENT ACCOUNT MANAGER)
- **Authorized official phone:** (575) 627-4111

## Contact information

- **Practice address:** 405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
- **Practice address phone:** (575) 624-4811
- **Practice address fax:** (575) 624-4596
- **Mailing address:** 405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
- **Mailing address phone:** (575) 624-4811
- **Mailing address fax:** (575) 624-4596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | LD-0882 | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | LD-0882 | — | Yes |

## Other

- **Enumeration date:** 04/26/2013
- **Last updated:** 04/26/2013