Organization
ROSWELL HOSPITAL CORPORATION
Active
Parent organization
ROSWELL HOSPITAL CORPORATION
Other names
Valley Health Clinic of Eastern New Mexico
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSWELL HOSPITAL CORPORATION
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
116 EAST 2ND STREET, DEXTER, NM 88230
(505) 734-5817
(505) 734-6550
Mailing address
116 EAST 2ND STREET, DEXTER, NM 88230
(505) 734-5817
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
6687
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S3929
—
NM
Enumeration date
03/14/2007
Last updated
04/21/2021
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