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Organization

NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC

Active
Other names
Roswell Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN C. PETROVICH (SENIOR VICE PRESIDENT)
(615) 296-3000
Entity
Organization

Contact information

Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(505) 627-7000
(505) 627-7007
Mailing address
117E 19TH ST, ROSWELL, NM 88201-5151
(575) 625-3308
(575) 627-7007

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
1T 3252
NM
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07707576
NM
Enumeration date
08/02/2006
Last updated
03/16/2012
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