Organization
ROSWELL HOSPITAL CORPORATION
Active
Parent organization
ROSWELL HOSPITAL CORPORATION
Other names
Eastern New Mexico Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSWELL HOSPITAL CORPORATION
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(505) 622-8170
(505) 624-8726
Mailing address
PO BOX 842091, DALLAS, TX 75284-2091
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
6687
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2978
—
NM
Enumeration date
01/30/2006
Last updated
04/21/2021
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