| Roswell Hospital Corporation | |
|
116 East 2nd Street Dexter NM 88230 | |
| (505) 734-5817 | |
| (505) 734-6550 |
| Full Name | Roswell Hospital Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 East 2nd Street, Dexter, New Mexico |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Hospital Corporation 116 East 2nd Street Dexter NM 88230 Ph: (505) 734-5817 | Roswell Hospital Corporation 116 East 2nd Street Dexter NM 88230 Ph: (505) 734-5817 |
| NPI Number | 1225161474 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 04/21/2021 |
| Medicare PECOS PAC ID | 1850204207 |
|---|---|
| Medicare Enrollment ID | O20050421001292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225161474 | NPI | - | NPPES |
| S3929 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 6687 (New Mexico) | Primary |
Dexter Consolidated Schools Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N. Lincoln, Dexter, NM 88230 Phone: 575-724-5420 | |
La Joya, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Yakima Rd, Dexter, NM 88230 Phone: 575-624-2095 Fax: 575-627-5721 |