Organization
DEMING HOSPITAL CORPORATION
Active
Other names
Mimbres Memorial Hosp - Anest & Pain Mgt
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
900 W ASH ST, DEMING, NM 88030-4000
(505) 546-5800
(505) 543-6907
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2851
(877) 892-9813
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NM
2085R0202X
Diagnostic Radiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K8425
—
NM
Enumeration date
05/15/2007
Last updated
07/21/2022
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