Deming Hospital Corporation

Organization Active NPI Skilled Nursing Facility · Deming, NM

NPI 1073584579 · NPPES record last updated Aug 11, 2020

Key facts

NPI
1073584579
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
5158 (NM)
Legal business name
DEMING HOSPITAL CORPORATION
Practice address
900 W Ash St
Deming, NM 88030-4000
Phone
(575) 546-5800
Fax
(575) 543-6907
NPI assigned
Feb 1, 2006
Organization subpart
Yes
Parent organization (as reported)
DEMING HOSPITAL CORPORATION

Authorized official

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

National Provider Directory

Part of
Mimbres Memorial Hospit

Specialties & licenses

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

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

  • Mimbres Memorial Nursing Home Doing business as

Other providers in Deming, NM

All providers in Deming, NM · Skilled Nursing Facility in New Mexico

Sources for this page

Verify at the official NPI Registry.