Organization
ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Active
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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