Organization
LOVELACE HEALTH SYSTEM INC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Other names
Lovelace Regional Hospital Family and Urgent Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
2335 N MAIN ST, ROSWELL, NM 88201-6452
(575) 622-4665
(575) 622-4557
Mailing address
2335 N MAIN ST, ROSWELL, NM 88201-6452
(575) 622-4665
(575) 622-4557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7707576
—
NM
Enumeration date
03/30/2012
Last updated
05/29/2019
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