NPIMap

Organization Active NPI

Lovelace Health System LLC

  • General Acute Care Hospital
  • Albuquerque, NM
National Provider Identifier
1306914213
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LOVELACE HEALTH SYSTEM LLC
Practice address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone
(505) 727-2805
NPI assigned
Nov 30, 2006
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ARDENT LEGACY HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Stephen Petrovich
Title
Cfo
Phone
(615) 296-3000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619

Mailing address

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619

Other names 1

  • Lovelace Medical Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031024000042 NM Part A Provider - Hospital 9739099326 Practice locations: Albuquerque, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306914213. Details of each certification follow.

Hospital certification: CCN 320009

Legal name
LOVELACE HEALTH SYSTEM LLC
Doing business as
LOVELACE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 15, 2024
Beds
254
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2003 (2 total)
Organization structure
LLCProprietary
Enrollment address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Main/Primary Hospital Location
Hospital subgroups
General, Psychiatric

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lovelace Medical CenterCCN 320009 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
St Joseph Medical CenterCCN 32T009
Ownership
For profit
Certified
Jul 1, 1984

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D0950561Lovelace Medical Center601 Dr Martin Luther King Jr Avenue NE, Albuquerque, NM 87102AccreditationFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ardent Health Inc Organization, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Aug 4, 2015 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 20, 2020
Mary a Crabtree Individual Corporate OfficerSVP Treasurer Mar 1, 2014
Ahs Management Company Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Feb 22, 2019
Stephen C Petrovich Individual Corporate Officer Oct 24, 2003
Matt Maxfield Individual Corporate OfficerPresident Dec 1, 2022 100%
W-2 Managing EmployeePresident Dec 1, 2022 100%
Ardent Legacy Holdings LLC Organization, Nashville, TN Corporation 5% Or Greater Direct Ownership Interest Aug 14, 2015 100%
Ahp Health Partners, Inc Organization, Nashville, TN Corporation 5% Or Greater Indirect Ownership Interest Feb 9, 2017 100%

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Lovelace Unm Rehabilitation HospitalAlbuquerque, NM, CCN 323028 Hospital 5% Or Greater Direct Ownership Interest (51%)
5% Or Greater Security Interest (51%)
Operational/Managerial Control (51%)		 May 1, 2017
May 1, 2017
May 1, 2017
Lovelace Health Care Center-UnionRoswell, NM, CCN 323859 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 17, 2023

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 61

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

  • Lovelace Health System LLC
    • Rural Health Clinic/Center
    • Roswell, NM
    • NPI 1609273283

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System LLC

    dba Lovelace Regional Hospital-Roswell

    • General Acute Care Hospital
    • Roswell, NM
    • NPI 1972878361

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Westside Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1649373887

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Women's Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1982799375

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Unm Rehabilitation Hospital, LLC
    • Rehabilitation Hospital
    • Albuquerque, NM
    • NPI 1700325677

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Southwest Medical Associates, LLC
    • Rural Health Clinic/Center
    • Roswell, NM
    • NPI 1578255253

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1356974687

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1316579642

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC.

    dba Hillcrest Hospital Claremore

    • General Acute Care Hospital
    • Claremore, OK
    • NPI 1023398807

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Hillcrest Hospital Cushing

    • Medicare Defined Swing Bed Hospital Unit
    • Cushing, OK
    • NPI 1467523894

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Cushing Regional Hospital

    • General Acute Care Hospital
    • Cushing, OK
    • NPI 1801867643

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Utica Park Clinic Primary Care

    • Rural Health Clinic/Center
    • Henryetta, OK
    • NPI 1295232478

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
View all 61

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

Affiliated clinicians 496

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 496

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": "1565308800000",
    "number": "1306914213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR MARTIN LUTHER KING JR AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023619",
            "telephone_number": "505-727-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE HEALTH SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARDENT LEGACY HOLDINGS, LLC",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovelace Medical Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lovelace Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.