Lovelace Health System LLC

Organization Active NPI General Acute Care Hospital · Albuquerque, NM

NPI 1306914213 · NPPES record last updated Aug 9, 2019

Key facts

NPI
1306914213
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 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
Organization subpart
Yes
Parent organization (as reported)
ARDENT LEGACY HOLDINGS, LLC

Authorized official

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 5

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

Facilities with the same owner 61

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

View all 61

Practitioners 73

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

View all 73

Affiliated clinicians 496

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

View all 496

Medicare Care Compare: Hospital

Listed as
Lovelace Medical Center CCN 320009
Overall star rating
★★☆☆☆ 2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
St Joseph Medical Center CCN 32T009
Ownership
For profit
Certified
Jul 1, 1984

Source: Medicare Care Compare. 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

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
32D0950561Lovelace Medical Center
601 Dr Martin Luther King Jr Avenue NE, Albuquerque, NM 87102
AccreditationFeb 28, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

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
LLC · Proprietary
Enrollment address
601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Main/Primary Hospital Location
Hospital subgroups
General, Psychiatric

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 Officer
Ceo-Chain Office
Aug 20, 2020
Mary a Crabtree
Individual
Corporate Officer
SVP 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 Officer
President
Dec 1, 2022 100%
W-2 Managing Employee
President
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 Hospital
Albuquerque, 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-Union
Roswell, NM · CCN 323859
Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 17, 2023

Medicare enrollment records

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

National Provider Directory

Locations

4420 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 727-6300

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
31427871MedicaidNM

Other names

  • Lovelace Medical Center Other name

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · General Acute Care Hospital in New Mexico

Sources for this page

Verify at the official NPI Registry.