Active NPI
Lovelace Health System, Inc.
- General Acute Care Hospital
- Albuquerque, NM
National Provider Identifier
1245308154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- LOVELACE HEALTH SYSTEM, INC.
- Practice address
- 5400 Gibson Blvd SE
Albuquerque, NM 87108-4729 - Phone
- (505) 727-2805
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loren Chandler
- Title
- Chief Financial Officer
- Phone
- (505) 727-2805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
5400 Gibson Blvd SE
Albuquerque, NM 87108-4729
Mailing address
5400 Gibson Blvd SE
Albuquerque, NM 87108-4729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000810 | Medicaid | NM |
Other names 1
- Lovelace Hospital Gibson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 320019
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LOVELACE MEDICAL CENTER - GIBSON
- Certification status
- Terminated Voluntary: merger or closure, Jul 1, 2007
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 1, 1969
- Last certification
- Feb 13, 2007
- Beds
- 203
- Ownership / control type
- Private (for profit)
- Facility address
- 5400 Gibson Boulevard SE
Albuquerque, NM 87108
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Albuquerque, NM
- NPI 1386679314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245308154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 GIBSON BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 GIBSON BLVD SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871084729",
"telephone_number": "505-727-2805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVELACE HEALTH SYSTEM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHANDLER",
"authorized_official_first_name": "LOREN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "505-727-2805"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000810",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lovelace Hospital Gibson",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.