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Organization

GUADALUPE COUNTY

Active
Other names
Guadalupe County Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANKIE TENORIO (ADMINISTRATOR)
(575) 472-1007
Entity
Organization

Contact information

Practice address
117 CAMINO DE VIDA, 100, SANTA ROSA, NM 88435-2874
(575) 472-3417
(575) 472-4587
Mailing address
117 CAMINO DE VIDA, 100, SANTA ROSA, NM 88435-2874
(575) 472-3417
(575) 472-4587

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QE0002X
Emergency Care Clinic/Center
Primary
282N00000X
General Acute Care Hospital
6799
NM
282NR1301X
Rural Acute Care Hospital

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7230
NM DEPARTMENT OF HEALTH
NM
Enumeration date
07/15/2005
Last updated
02/28/2025
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