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Organization

NOR-LEA HOSPITAL DISTRICT

Active
Other names
Eagle Student Heath Center
Organization subpart
No

Provider details

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

Contact information

Practice address
800 N JEFFERSON ST BLDG SHCH, HOBBS, NM 88240
(575) 433-3030
(575) 433-3031
Mailing address
1600 NORTH MAIN, CREDENTIALING DEPARTMENT, LOVINGTON, NM 88260
(575) 396-6611
(575) 396-1454

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
04/25/2018
Last updated
08/21/2018
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