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Nor-Lea Hospital District

Organization Active NPI Rural Health Clinic/Center · Tatum, NM

NPI 1174559082 · NPPES record last updated May 1, 2014

Key facts

NPI
1174559082
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
6260 (NM)
Legal business name
NOR-LEA HOSPITAL DISTRICT
Practice address
310 N Main
Tatum, NM 88267-9802
Phone
(575) 398-2111
Fax
(575) 398-6112
NPI assigned
Jun 23, 2006
Organization subpart
No

Authorized official

Name
David B Shaw
Title
Ceo/Administration
Phone
(575) 396-6611

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 10

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

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

Facilities with the same owner 4

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

Practitioners 58

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

View all 58

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
32D0951556Tatum Clinic
310 North Main, Tatum, NM 88267		Provider-performed microscopyMay 15, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Rural health clinic certification: CCN 323984

Legal name
NOR-LEA HOSPITAL DISTRICT
Doing business as
TATUM CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 19, 1982
Last certification
Jun 24, 2025
Ownership / control type
1A
Organization structure
Other · Non-profit
Incorporated
Jul 14, 1982 in NM
Enrollment address
310 N Main St
Tatum, NM 88267-9525

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Agustin Dorado
Individual 		Corporate Director Aug 27, 2008
Maria Coleman
Individual 		W-2 Managing Employee Jan 4, 2010
Nor-Lea Hospital District
Organization · Lovington, NM
Non-profit 		Operational/Managerial Control Jul 14, 1982 100%
Rita Staton
Individual 		Other Aug 21, 2012
James Wright
Individual 		Other Jun 7, 2011
David B Shaw
Individual 		Corporate Director Dec 20, 1999
Julia Ann Myers
Individual 		Other Aug 25, 2010

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nor-Lea General Hospital
Lovington, NM · CCN 321305		 Hospital Operational/Managerial Control Mar 4, 1980
Nor-Lea General Hospital - Swing Bed
Lovington, NM · CCN 32Z305		 Hospital Operational/Managerial Control Aug 2, 2002
Lovington Clinic
Lovington, NM · CCN 323400		 Rural health clinic Operational/Managerial Control Oct 28, 1994
Family Health Center of Lea County
Hobbs, NM · CCN 323405		 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100702000113 NM Part a Provider - Rural Health Clinic 2466364534 Practice locations: Tatum, NM

National Provider Directory

Tax ID family
Nor-Lea Hospital District (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 6260 NM
Rural Health Clinic/Center 261QR1300X 6260 NM Yes

Addresses

Primary practice location

310 N Main
Tatum, NM 88267-9802

Mailing address

1600 North Main
Lovington, NM 88260-2813
Phone (575) 396-6611

Other identifiers

IdentifierTypeStateIssuer
45260MedicaidNM

Other names

  • Tatum Medical Clinic Doing business as

Other providers in Tatum, NM

All providers in Tatum, NM · Rural Health Clinic/Center in New Mexico

Sources for this page

Verify at the official NPI Registry.