New Mexico Medical Surgical Hospital LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC

Doing business as

Roswell Regional Hospital

Practice address

117 E 19TH St
Roswell, NM 88201

Phone

(575) 627-7000

Fax

(575) 627-7007

NPI assigned

Dec 4, 2009

Last updated

Apr 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert C Tyk

Title

Cfo

Phone

(575) 625-3364

Specialties & licenses 2

Addresses

Other names 1

• Roswell Regional Hospital Doing business as

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1205164118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-627-7000",
            "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": "88201",
            "telephone_number": "575-627-7000",
            "fax_number": "575-627-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "TYK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "575-625-3364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NM",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New Mexico Medical Surgical Hospital LLC (Roswell Regional Hospital)
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• New Mexico Psychiatric Services Corporation
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• Newmex Case Management, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.