Active NPI
New Mexico Medical Surgical Hospital LLC
Doing business as Roswell Regional Hospital
- General Acute Care Hospital
- Roswell, NM
National Provider Identifier
1114934254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC
- Doing business as
- Roswell Regional Hospital
- Practice address
- 117 E 19TH St
Roswell, NM 88201-5151 - Phone
- (505) 627-7000
- Fax
- (505) 627-7007
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen C. Petrovich
- Title
- Senior Vice President
- Phone
- (615) 296-3000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1T 3252 | NM | |
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
117 E 19TH St
Roswell, NM 88201-5151
Mailing address
117E 19TH St
Roswell, NM 88201-5151
Phone (575) 625-3308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07707576 | Medicaid | NM |
Other names 1
- Roswell Regional Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1114934254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117E 19TH ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015151",
"telephone_number": "575-625-3308",
"fax_number": "575-627-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E 19TH ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015151",
"telephone_number": "505-627-7000",
"fax_number": "505-627-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "PETROVICH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "615-296-3000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NM",
"license": "1T 3252",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07707576",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roswell Regional Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Roswell, NM
- Ashok Neupane, DMD
- Neuropathways Therapy Center LLC
- Alicia Nevarez Metcalf
- New Day Services, LLC
- New Mexico Healthcare Services LLC (Excelacare Home Health)
- New Mexico Medical Surgical Hospital LLC (Roswell Regional Hospital)
- New Mexico Medical Surgical Hospital LLC (Roswell Regional Family Care)
- New Mexico Prosthetic-Orthotic Center, Inc
- New Mexico Psychiatric Services Corporation
- New Mexico Speech and Swallowing Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.