# NOR-LEA HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Student Heath Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366930380
- **Authorized official:** DAVID B SHAW (CEO/ADMINISTRATOR)
- **Authorized official phone:** (575) 396-6611

## Contact information

- **Practice address:** 800 N JEFFERSON ST BLDG SHCH, HOBBS, NM 88240
- **Practice address phone:** (575) 433-3030
- **Practice address fax:** (575) 433-3031
- **Mailing address:** 1600 NORTH MAIN, CREDENTIALING DEPARTMENT, LOVINGTON, NM 88260
- **Mailing address phone:** (575) 396-6611
- **Mailing address fax:** (575) 396-1454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 08/21/2018