| Nor-lea Hospital District | |
|
310 N Main Tatum NM 88267-9802 | |
| (575) 398-2111 | |
| (575) 398-6112 |
| Full Name | Nor-lea Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 N Main, Tatum, New Mexico |
| Authorized Official Name and Position | David B Shaw (CEO/ADMINISTRATION) |
| Authorized Official Contact | 5753966611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nor-lea Hospital District 1600 North Main Lovington NM 88260-2813 Ph: (575) 396-6611 | Nor-lea Hospital District 310 N Main Tatum NM 88267-9802 Ph: (575) 398-2111 |
| NPI Number | 1174559082 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 05/01/2014 |
| Medicare PECOS PAC ID | 2466364534 |
|---|---|
| Medicare Enrollment ID | O20100702000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174559082 | NPI | - | NPPES |
| 45260 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 6260 (New Mexico) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 6260 (New Mexico) | Primary |