Organization
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Active
Other names
RGH Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LEAMING (AUTHORIZED OFFICIAL)
(575) 356-3412
Entity
Organization
Contact information
Practice address
42121 U.S. 70, PORTALES, NM 88130-9054
(575) 359-1800
Mailing address
PO BOX 568, MUNCIE, IN 47308-0568
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
03/27/2014
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