Active NPI
Deming Hospital Corporation
Doing business as Mimbres Memorial Nursing Home
- Skilled Nursing Facility
- Deming, NM
National Provider Identifier
1073584579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5158
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- DEMING HOSPITAL CORPORATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2192408 | Mimbres Memorial Nursing Home | Certificate of waiver | Sep 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.
-
- Internal Medicine Physician
- Deming, NM
- NPI 1629021233
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Durango, CO
- NPI 1003896408
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
- Deming Clinic Corporation
- Deming Dental and Oral Surgery Center (Rio Mimbres Family Dental and Oral Surgery)
- Deming Dental Services, P.a.
- Deming Emergency Physicians
- Deming Home Care Services LLC (Mimbres Valley Hospice)
- Deming Hospital Corporation (Mimbres Valley Medical Group)
- Deming Hospital Corporation (Deming Pediatrics)
- Deming Hospital Corporation (Mimbres Memorial Hosp - Anest & Pain Mgt)
- Deming Hospital Corporation (Mimbres Valley Medical Group)
- Deming Hospital Corporation (Mimbres Memorial Hospital)
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.