| Guadalupe County Hospital | |
|
117 Camino De Vida 100 Santa Rosa NM 88435-2874 | |
| (575) 472-3417 | |
| (575) 472-4587 |
| Full Name | Guadalupe County Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 Camino De Vida, Santa Rosa, New Mexico |
| Authorized Official Name and Position | Frankie Tenorio (ADMINISTRATOR) |
| Authorized Official Contact | 5754721007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guadalupe County Hospital 117 Camino De Vida 100 Santa Rosa NM 88435-2874 Ph: (575) 472-3417 | Guadalupe County Hospital 117 Camino De Vida 100 Santa Rosa NM 88435-2874 Ph: (575) 472-3417 |
| NPI Number | 1346249968 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Medicare PECOS PAC ID | 9335118918 |
|---|---|
| Medicare Enrollment ID | O20110629000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346249968 | NPI | - | NPPES |
| Provider Name | Randal W Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376636159 PECOS PAC ID: 5991693525 Enrollment ID: I20060116000168 |
| Provider Name | Antje Postl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639255300 PECOS PAC ID: 4587799473 Enrollment ID: I20100317000570 |
| Provider Name | Peter Piampiano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386694040 PECOS PAC ID: 8224925953 Enrollment ID: I20110823000768 |
| Provider Name | David Neil Calkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407966369 PECOS PAC ID: 2163310061 Enrollment ID: I20110914000580 |
| Provider Name | Michael J Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295085157 PECOS PAC ID: 7911146501 Enrollment ID: I20130611000531 |
| Provider Name | Mary M Kenyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366824963 PECOS PAC ID: 6406154913 Enrollment ID: I20160418001026 |
| Provider Name | Laura Mardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720432271 PECOS PAC ID: 2365733318 Enrollment ID: I20160622000129 |
| Provider Name | James Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730507955 PECOS PAC ID: 3476850116 Enrollment ID: I20170405002161 |
| Provider Name | Jesus a Tafoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992118145 PECOS PAC ID: 5395034946 Enrollment ID: I20170819000139 |
| Provider Name | Mark L Grossetete |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447592498 PECOS PAC ID: 3577798909 Enrollment ID: I20180906001151 |
| Provider Name | Sally a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861981193 PECOS PAC ID: 5193076172 Enrollment ID: I20181002001068 |
| Provider Name | Senora L Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225695018 PECOS PAC ID: 4385979269 Enrollment ID: I20190715002430 |
| Provider Name | Steven T Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649222910 PECOS PAC ID: 6800817776 Enrollment ID: I20190829000440 |
| Provider Name | Timothy W Overton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134626070 PECOS PAC ID: 1658629647 Enrollment ID: I20210610003537 |
| Provider Name | David a Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720576887 PECOS PAC ID: 7810245859 Enrollment ID: I20210802001763 |
| Provider Name | Krista N Mericle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023551363 PECOS PAC ID: 6709244593 Enrollment ID: I20230627001776 |
| Provider Name | Lyrisa Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275312191 PECOS PAC ID: 5395193049 Enrollment ID: I20231120000444 |
| Provider Name | Tse F Anyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417490301 PECOS PAC ID: 9537538723 Enrollment ID: I20241119002321 |
| Provider Name | Tommie Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003798877 PECOS PAC ID: 0446753081 Enrollment ID: I20250910004393 |
| Provider Name | Shahroz Aziz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992150221 PECOS PAC ID: 0648672527 Enrollment ID: I20251014001022 |
| Provider Name | Russell R Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871230706 PECOS PAC ID: 4789069782 Enrollment ID: I20251115000376 |
| Provider Name | Christopher J Manganello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003296146 PECOS PAC ID: 7113389800 Enrollment ID: I20251219000703 |
| Provider Name | Naveen Selvam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790197762 PECOS PAC ID: 9931325511 Enrollment ID: I20251221000037 |
| Provider Name | Tejal Lalaji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225003320 PECOS PAC ID: 3577526524 Enrollment ID: I20251222001891 |
| Provider Name | Matthew Knouse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477045284 PECOS PAC ID: 3870848591 Enrollment ID: I20260101000373 |
| Provider Name | Steven J Karidas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396940342 PECOS PAC ID: 0941391478 Enrollment ID: I20260106002673 |
| Provider Name | Alexander Macrae Harvin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295097970 PECOS PAC ID: 5496044612 Enrollment ID: I20260113004090 |
| Provider Name | Syed Akbar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174574222 PECOS PAC ID: 2769459676 Enrollment ID: I20260205004497 |
| Provider Name | Amit Sanghi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720280530 PECOS PAC ID: 0941469613 Enrollment ID: I20260209004027 |
| Provider Name | Mohammed Hoque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336482702 PECOS PAC ID: 5092064204 Enrollment ID: I20260401004145 |
| Provider Name | Joshua Pleasure |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073543609 PECOS PAC ID: 2769670579 Enrollment ID: I20260411000231 |
Sunrise Clinics - Santa Rosa Elementary Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 658 S 5th St, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 |
Sunrise Medical Group, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 Highway 54, Santa Rosa, NM 88435 Phone: 505-433-5572 Fax: 877-651-1259 |
Santa Rosa Lion Care Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 S 3rd St, Santa Rosa, NM 88435 Phone: 505-426-2262 Fax: 505-454-1473 |
Sunrise Clinics - Santa Rosa Middle Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Camino De Vida, Santa Rosa, NM 88435 Phone: 575-472-7747 Fax: 877-651-0289 |
Santa Rosa Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Lake Dr, Santa Rosa, NM 88435 Phone: 505-472-4311 Fax: 505-472-4313 |