Southeastern New Mexico Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

6786 Issued in NM

Legal business name

SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC

Practice address

113 E 19TH St
Roswell, NM 88201-5151

Phone

(505) 627-7000

Fax

(505) 627-7007

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Lauri J Rose, MBA, CASC

Title

Administrator

Phone

(505) 627-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CENTER FOR AMBULATORY SURGERY AND ENDOSCOPY OF SOUTHEASTERN NEW MEXICO Doing business as

Locations

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073594446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "505-627-7000",
            "fax_number": "505-627-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "505-627-7000",
            "fax_number": "505-627-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-627-7000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NM",
            "license": "6786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74469",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR AMBULATORY SURGERY AND ENDOSCOPY OF SOUTHEASTERN NEW MEXICO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley M Solano, BT
• Lorenza Solis, M.S. CF-SLP
• Monica Ann Solis, M.S. CCC-SLP
• Louriz Soto
• Southeastern New Mexico Speech and Hearing Clinic
• Southern Counseling and Psychological Services LLC
• Southern New Mexico Medical Association, PA
• Tina J Southward, PAC
• Southwest Ambulance of New Mexico
• Southwest C a R E Center

• Ambulatory Surgical Clinic/Center in Roswell, NM
• Providers in Roswell, NM by specialty
• Ambulatory Surgical Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.