Roosevelt County Special Hospital District
Organization Active NPI Rural Health Clinic/Center · Melrose, NM
NPI 1154770618 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1154770618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 3370 (NM)
- Legal business name
- ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
- Practice address
- 121 Main St
Melrose, NM 88124-9680 - Phone
- (575) 253-4373
- NPI assigned
- Jun 6, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Authorized official
- Name
- Lorence Leaming
- Title
- Ceo
- Phone
- (585) 356-3411
National Provider Directory
- Part of
- Roosevelt General Hospi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 3370 | NM | Yes |
Addresses
Primary practice location
121 Main St
Melrose, NM 88124-9680
Mailing address
PO Box 233
Melrose, NM 88124-0233
Phone (575) 253-4373
Other names
- RGH Melrose Clinic
NPI Registry JSON
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465171200000",
"number": "1154770618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "MELROSE",
"state": "NM",
"postal_code": "881240233",
"telephone_number": "575-253-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 MAIN ST",
"city": "MELROSE",
"state": "NM",
"postal_code": "881249680",
"telephone_number": "575-253-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT",
"enumeration_date": "2016-06-06",
"last_updated": "2016-06-06",
"status": "A",
"authorized_official_last_name": "LEAMING",
"authorized_official_first_name": "LORENCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "585-356-3411"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NM",
"license": "3370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RGH Melrose Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Melrose, NM
- Edna Gail Gutierrez
- Tammie Jean Jacobs
- Zanessa D. Kastler
- La Casa de Buena Salud Inc
- Karla Annette Moore
- Village of Melrose
All providers in Melrose, NM · Rural Health Clinic/Center in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.