Organization Active NPI

Deming Hospital Corporation

Doing business as Mimbres Memorial Nursing Home

  • Skilled Nursing Facility
  • Deming, NM
National Provider Identifier
1073584579
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5158 Issued in NM
Legal business name
DEMING HOSPITAL CORPORATION
Doing business as
Mimbres Memorial Nursing Home
Practice address
900 W Ash St
Deming, NM 88030-4000
Phone
(575) 546-5800
Fax
(575) 543-6907
NPI assigned
Feb 1, 2006
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DEMING HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randy Michael Cooper
Title
SVP Finance Op/Authorized Official
Phone
(615) 221-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5158 NM Primary

Addresses

Primary practice location

900 W Ash St
Deming, NM 88030-4000

Mailing address

900 W Ash St
Deming, NM 88030-4000
Phone (575) 546-5800

Other names 1

  • Mimbres Memorial Nursing Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2192408Mimbres Memorial Nursing Home900 W Ash Street, Deming, NM 88030Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory
Part of
Mimbres Memorial Hospit

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1073584579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W ASH ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304000",
            "telephone_number": "575-546-5800",
            "fax_number": "575-543-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ASH ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304000",
            "telephone_number": "575-546-5800",
            "fax_number": "575-543-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMING HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEMING HOSPITAL CORPORATION",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mimbres Memorial Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mimbres Memorial Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deming, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.