Organization
NOR-LEA HOSPITAL DISTRICT
Active
Other names
Family Health Center of Lea County
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B SHAW (CEO/ADMINISTRATION)
(575) 396-6611
Entity
Organization
Contact information
Practice address
515 E MAIN ST, HOBBS, NM 88240-8119
(575) 397-0560
(575) 397-0836
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-9059
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
2258209
NM
261QR1300X
Rural Health Clinic/Center
Primary
32-3405
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2258209
MEDICARE PTAN
NM
01
—
32-3405
MEDICARE PTAN-RURAL HEALTH CLINIC
NM
Enumeration date
06/16/2006
Last updated
12/30/2016
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