Organization
DEMING HOSPITAL CORPORATION
Active
Other names
Mimbres Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PORTACCI (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
900 W ASH ST, DEMING, NM 88030-4000
(505) 546-5800
Mailing address
PO BOX 844814, DALLAS, TX 75284-4814
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
6552
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023
BCBS
—
05
—
00B2113
—
NM
01
—
022426
AHCCCS
—
01
—
21486
PHP
—
01
—
NM000023
OUT OF STATE BCBS
—
Enumeration date
01/30/2006
Last updated
11/13/2007
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