Organization
NOR-LEA HOSPITAL DISTRICT
Active
Other names
Lovington Student Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B SHAW (CEO/ADMINISTRATOR)
(575) 396-6611
Entity
Organization
Contact information
Practice address
605 WEST TAYLOR, LOVINGTON, NM 88260
(575) 739-0062
(575) 739-0064
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
66326
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66326
CITY OF LOVINGTON BUSINESS REGISTRATION
NM
Enumeration date
10/23/2006
Last updated
08/21/2018
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