NPIMap

Organization Active NPI

Miners Colfax Medical Center

Doing business as Miners Colfax Medical Center RHC

  • Rural Health Clinic/Center
  • Raton, NM
National Provider Identifier
1346780434
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
3551 Issued in NM
Legal business name
MINERS COLFAX MEDICAL CENTER
Doing business as
Miners Colfax Medical Center RHC
Practice address
203 Hospital Dr
Raton, NM 87740-2012
Phone
(575) 445-3661
Fax
(575) 445-7743
NPI assigned
Mar 8, 2017
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
MINERS COLFAX MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Bo Beames
Title
Ceo
Phone
(575) 445-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 3551 NM Primary

Addresses

Primary practice location

203 Hospital Dr
Raton, NM 87740-2012

Mailing address

203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-3661

Other identifiers 1

IdentifierTypeStateIssuer
45079277MedicaidNM

Other names 1

  • MINERS COLFAX MEDICAL CENTER RHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000106 NM Part B Supplier - Clinic/Group Practice 5294647400 Receives reassigned benefits from 53 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Raton, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Miners Colfax Medical Center

Locations

200 Hospital Dr
Raton, NM 87740
Phone (505) 445-3661

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 61

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 61

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1346780434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-3661",
            "fax_number": "575-445-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402012",
            "telephone_number": "575-445-3661",
            "fax_number": "575-445-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERS COLFAX MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINERS COLFAX MEDICAL CENTER",
        "enumeration_date": "2017-03-08",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "BEAMES",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-445-7722"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NM",
            "license": "3551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45079277",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINERS COLFAX MEDICAL CENTER RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.