# DEPARTMENT OF VETERANS AFFAIRS

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

## Provider details

- **NPI number:** 1497810188
- **Authorized official:** MR. SHIRLEY ELAINE ROPER R.N. (TOUR SUPERVISOR)
- **Authorized official phone:** (505) 265-1711

## Contact information

- **Practice address:** HC 61 BOX 2029, 260 CANDY KITCHEN RD, RAMAH, NM 87321-9608
- **Practice address phone:** (505) 775-3276
- **Mailing address:** HC 61 BOX 2029, 260 CANDY KITCHEN RD, RAMAH, NM 87321-9608
- **Mailing address phone:** (505) 775-3276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | R48833 | NM | Yes |

## Other

- **Enumeration date:** 12/25/2006
- **Last updated:** 08/08/2008