Organization
ROSWELL HOSPITAL CORPORATION
Active
Organization
ROSWELL HOSPITAL CORPORATION
Active
Other names
La Familia Care Center of ENMMC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L JACKSON (SNR DIRECTOR PROVIDER ENROLLMENT)
(615) 465-3334
Entity
Organization
Contact information
Practice address
712 W HOBBS ST, ROSWELL, NM 88203-3646
(575) 623-5263
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7429
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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