Organization
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Active
Other names
RGH-Internal Medicine Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY LEAMING (CEO ADMINISTRATOR)
(505) 359-1800
Entity
Organization
Contact information
Practice address
42121 US HWY 70, PORTALES, NM 88130-9357
(575) 356-6652
(505) 226-3636
Mailing address
PO BOX 299, 42121 US HWY 70, PORTALES, NM 88130-0299
(575) 356-6652
(505) 226-3636
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
072
NM
207Q00000X
Family Medicine Physician
87-277
NM
207Q00000X
Family Medicine Physician
A-1584-10
NM
207Q00000X
Family Medicine Physician
CNP-01941
NM
207Q00000X
Family Medicine Physician
CNP00289
NM
207Q00000X
Family Medicine Physician
MD2010-0558
NM
207Q00000X
Family Medicine Physician
MD2010-0626
NM
207Q00000X
Family Medicine Physician
Primary
MD2011-0222
NM
207Q00000X
Family Medicine Physician
PA2004-0028
NM
208600000X
Surgery Physician
MD2004-0707
NM
208VP0000X
Pain Medicine Physician
MD2004-0760
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013046994
NPI
—
01
—
1013221969
NPI
NM
01
—
1215021696
NPI
—
01
—
1245292242
NPI
—
01
—
1255641338
NPI
NM
01
—
1528010279
NPI
—
01
—
1598750614
NPI
—
01
—
1669646006
NPI
—
01
—
1780778159
NPI
—
01
—
1790926814
NPI
—
01
—
1841242831
NPI
—
Enumeration date
10/05/2006
Last updated
10/29/2012
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