Organization
LOVELACE HEALTH SYSTEM LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS LLC
Other names
Lovelace Regional Hospital-Roswell
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS LLC
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 625-3308
(575) 627-7007
Mailing address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 625-3308
(575) 627-7007
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1T 352
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07707576
—
NM
Enumeration date
03/19/2012
Last updated
05/29/2019
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