# ROSWELL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern New Mexico Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447221742
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
- **Practice address phone:** (575) 622-8170
- **Practice address fax:** (575) 624-8726
- **Mailing address:** PO BOX 842091, DALLAS, TX 75284-2091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 6687 | NM | Yes |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 04/21/2021
