# NOR-LEA HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Physicians Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780912352
- **Authorized official:** DAVID SHAW (CEO)
- **Authorized official phone:** (575) 396-6611

## Contact information

- **Practice address:** 1600 N MAIN AVE, LOVINGTON, NM 88260-2813
- **Practice address phone:** (575) 396-6611
- **Mailing address:** 1600 N MAIN AVE, LOVINGTON, NM 88260-2813
- **Mailing address phone:** (575) 396-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NM | Yes |
| 282NC0060X | Critical Access Hospital | — | NM | — |

## Other

- **Enumeration date:** 11/19/2009
- **Last updated:** 01/04/2010