NPIMap

Organization Active NPI

Fort Bayard Medical Center

  • Skilled Nursing Facility
  • Bayard, NM
National Provider Identifier
1215925417
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FORT BAYARD MEDICAL CENTER
Practice address
100 Calle El Centro
Bayard, NM 88036
Phone
(505) 537-3302
Fax
(505) 537-2161
NPI assigned
Oct 11, 2005
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mrs. Helen Jaurequi, R.N.
Title
MDS Coordinator
Phone
(505) 537-3302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Calle El Centro
Bayard, NM 88036

Mailing address

PO Box 36219
Ft Bayard, NM 88036-6219
Phone (505) 537-3302

Other identifiers 1

IdentifierTypeStateIssuer
00I0068MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Las Vegas Medical Cente43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1215925417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36219",
            "city": "FT BAYARD",
            "state": "NM",
            "postal_code": "880366219",
            "telephone_number": "505-537-3302",
            "fax_number": "505-537-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE EL CENTRO",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "88036",
            "telephone_number": "505-537-3302",
            "fax_number": "505-537-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT BAYARD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JAUREQUI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "MDS COORDINATOR",
        "authorized_official_telephone_number": "505-537-3302",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00I0068",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayard, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.