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Organization
ROSWELL HOSPITAL CORPORATION
Active
Organization
ROSWELL HOSPITAL CORPORATION
Active
Parent organization
ROSWELL HOSPITAL CORPORATION
Other names
Eastern New Mexico Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSWELL HOSPITAL CORPORATION
Authorized official
JENNIFER L JACKSON (SENIOR DIRECTOR, ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-4777
(575) 624-8711
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 465-7000
(575) 624-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NM
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
NM
2084P0800X
Psychiatry Physician
—
NM
208M00000X
Hospitalist Physician
—
NM
246X00000X
Cardiovascular Specialist/Technologist
—
NM
2472E0500X
EEG Technician
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75964
—
NM
01
—
NM007800
BCBS
NM
05
—
S5216
—
NM
Enumeration date
05/18/2006
Last updated
07/21/2022
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