NPIMap

Organization Active NPI

Guadalupe County

Doing business as Guadalupe County Hospital

  • Emergency Care Clinic/Center
  • Santa Rosa, NM
National Provider Identifier
1346249968
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
GUADALUPE COUNTY
Doing business as
Guadalupe County Hospital
Practice address
117 Camino de Vida
100
Santa Rosa, NM 88435-2874
Phone
(575) 472-3417
Fax
(575) 472-4587
NPI assigned
Jul 15, 2005
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Mr. Frankie Tenorio
Title
Administrator
Phone
(575) 472-1007

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Emergency Care Clinic/Center 261QE0002X Primary
General Acute Care Hospital 282N00000X 6799 NM
Rural Acute Care Hospital 282NR1301X

Addresses

Primary practice location

117 Camino de Vida
100
Santa Rosa, NM 88435-2874

Mailing address

117 Camino de Vida
100
Santa Rosa, NM 88435-2874
Phone (575) 472-3417

Other identifiers 1

IdentifierTypeStateIssuer
7230OtherNMNM DEPARTMENT OF HEALTH

Other names 1

  • Guadalupe County Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110629000074 NM Part B Supplier - Clinic/Group Practice 9335118918 Receives reassigned benefits from 31 practitioners
Practice locations: Santa Rosa, NM
O20221221001666 NM Part A Provider - Rural Emergency Hospital (Reh) 9335118918 Practice locations: Santa Rosa, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346249968. Details of each certification follow.

Hospital certification: CCN 320779

Legal name
GUADALUPE COUNTY
Doing business as
GUADALUPE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Sep 1, 2023
Last certification
Jul 30, 2025
Beds
12 (10 certified)
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Incorporated
Aug 1, 1952 in NM
Enrollment address
117 Camino de Vida
Santa Rosa, NM 88435-2267
Main/Primary Hospital Location

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Guadalupe County HospitalCCN 320779 · All quality measures
Type
Rural Emergency Hospital
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

117 Camino de Vida
Ste 100
Santa Rosa, NM 88435
Phone (575) 472-3417

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
New Mexicare Inc Organization, Santa Rosa, NM Non-profit Operational/Managerial Control Jul 1, 2010
Frankie E Tenorio Individual W-2 Managing EmployeeAd; Jul 1, 2024 100%
Erasmo Bravo Individual Corporate OfficerBoard Chairman Jul 1, 2024 20%
Guadalupe County Organization, Santa Rosa, NM 5% Or Greater Direct Ownership Interest Jul 1, 2010 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Guadalupe County

    dba Guadalupe County Ambulance Service

    • Land Ambulance
    • Santa Rosa, NM
    • NPI 1063227494

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 31

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 31

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1346249968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA",
            "address_2": "100",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352874",
            "telephone_number": "575-472-3417",
            "fax_number": "575-472-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA",
            "address_2": "100",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352874",
            "telephone_number": "575-472-3417",
            "fax_number": "575-472-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "TENORIO",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-472-1007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "6799",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM DEPARTMENT OF HEALTH",
            "identifier": "7230",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guadalupe County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guadalupe County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, NM

Sources for this page

Verify at the official NPI Registry.