Organization
CIBOLA GENERAL HOSPITAL CORPORATION
Active
Other names
Cibola Behavioral Health and Wellness, Cibola Professional Services, Cibola General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SELLERS (CEO)
(505) 287-5300
Entity
Organization
Contact information
Practice address
1016 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-5300
(505) 287-5309
Mailing address
1016 E ROOSEVELT AVE, GRANTS, NM 87020-2118
(505) 287-5202
(505) 287-5268
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
282NC0060X
Critical Access Hospital
Primary
6079
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000729
—
NM
01
—
321308
MEDICARE ID - UNSPECIFIED
NM
Enumeration date
08/23/2005
Last updated
04/14/2026
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