NPIMap

Organization Active NPI

Deming Hospital Corporation

Doing business as Mimbres Valley Medical Group

  • Rural Health Clinic/Center
  • Deming, NM
National Provider Identifier
1134526221
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
6552 Issued in NM
Legal business name
DEMING HOSPITAL CORPORATION
Doing business as
Mimbres Valley Medical Group
Practice address
905 S 8TH St Ste B
Deming, NM 88030-4037
Phone
(575) 543-7200
Fax
(575) 543-7250
NPI assigned
Dec 4, 2014
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Laura J Fey
Title
Sr. Director Physician Rev Cycle
Phone
(615) 221-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 6552 NM Primary

Addresses

Primary practice location

905 S 8TH St Ste B
Deming, NM 88030-4037

Mailing address

PO Box 19072
Belfast, ME 04915-4085
Phone (575) 543-7200

Other names 1

  • Mimbres Valley Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040217000196 NM Part B Supplier - Clinic/Group Practice 4981599206 Receives reassigned benefits from 39 practitioners
3 other NPIs on this enrollment
Practice locations: Deming, NM
O20181205001053 NM Part A Provider - Rural Health Clinic 4981599206 Practice locations: Deming, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134526221. Details of each certification follow.

Rural health clinic certification: CCN 323408

Legal name
DEMING HOSPITAL CORPORATION
Doing business as
MIMBRES VALLEY MEDICAL GROUP
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 21, 2019
Last certification
May 7, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
905 S 8TH St
Ste B
Deming, NM 88030-4037
Related CCNs
321309

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mimbres Memorial Hospit6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Henry Kunath Individual Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2023
Corporate DirectorSr Vice President/Treasurer/Cfo Sep 6, 2023
Christopher M Harrison Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Corporate DirectorPresident/Ceo Apr 1, 2025
Trisha L Smith Individual W-2 Managing EmployeeCfo May 21, 2019
Quorum Health Corporation Organization, Brentwood, TN Corporation 5% Or Greater Direct Ownership Interest Apr 29, 2016 100%
Gtam Onshore Blocker 2 LLC Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 20, 2023 19.34%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Aug 5, 2020 6.8%
Laura Fey Individual Corporate DirectorVP of Revenue Cycle Aug 27, 2018
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 5.44%
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Quincy Health LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Steven W Frantz Individual Corporate OfficerVice President Aug 10, 2022
Corporate DirectorVice President Aug 10, 2022
Donald Esposito Individual Corporate OfficerSVP & Secretary Sep 16, 2021
Corporate DirectorSVP & Secretary Sep 16, 2021

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Deming, NM
    • NPI 1710196571

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Critical Access Hospital
    • Deming, NM
    • NPI 1891075446

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • San Miguel Hospital Corporation

    dba Alta Vista Regional Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Las Vegas, NM
    • NPI 1598537862

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Rural Health Clinic/Center
    • Alpine, TX
    • NPI 1275988669

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Critical Access Hospital
    • Alpine, TX
    • NPI 1356312243

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Alpine, TX
    • NPI 1689773756

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • General Acute Care Hospital
    • Big Spring, TX
    • NPI 1336976034

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • Psychiatric Hospital Unit
    • Big Spring, TX
    • NPI 1770310476

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Lyman, WY
    • NPI 1134666944

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Evanston Regional Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Evanston, WY
    • NPI 1356313506

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Mountain View, WY
    • NPI 1427595271

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Evanston Regional Hospital

    • General Acute Care Hospital
    • Evanston, WY
    • NPI 1639140015

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
View all 32

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1134526221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19072",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154085",
            "telephone_number": "575-543-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S 8TH ST STE B",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304037",
            "telephone_number": "575-543-7200",
            "fax_number": "575-543-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMING HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NM",
            "license": "6552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mimbres Valley Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mimbres Valley Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.