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Organization

NOR-LEA HOSPITAL DISTRICT

Active
Other names
Nor-Lea General Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID SHAW (CEO)
(575) 396-6611
Entity
Organization

Contact information

Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(575) 396-6611
(575) 396-5971
Mailing address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(575) 396-6611
(575) 396-5971

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH000002159
NM
3336I0012X
Institutional Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3211923
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
10/15/2009
Last updated
11/24/2009
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