# STATE OF NEW MEXICO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NM DEPARTMENT OF HEALTH
- **Other names:** Fort Bayard Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982730669
- **Legal business name:** NM DEPARTMENT OF HEALTH
- **Authorized official:** SHERRI BAYS (CFO)
- **Authorized official phone:** (575) 537-8606

## Contact information

- **Practice address:** 41 FORT BAYARD ROAD, SANTA CLARA, NM 88026
- **Practice address phone:** (575) 537-8600
- **Practice address fax:** (575) 537-8869
- **Mailing address:** PO BOX 293, SANTA CLARA, NM 88026-0293
- **Mailing address phone:** (575) 537-8600
- **Mailing address fax:** (575) 537-3753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | 5011 | NM | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 5011 | NM | — |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 12/12/2024