NPIMap

Organization Active NPI

Nor-Lea Hospital District

Doing business as Eagle Student Heath Center

  • Student Health Clinic/Center
  • Hobbs, NM
National Provider Identifier
1366930380
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
NOR-LEA HOSPITAL DISTRICT
Doing business as
Eagle Student Heath Center
Practice address
800 N Jefferson St BLDG SHCH
Hobbs, NM 88240
Phone
(575) 433-3030
Fax
(575) 433-3031
NPI assigned
Apr 25, 2018
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
David B Shaw
Title
Ceo/Administrator
Phone
(575) 396-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

800 N Jefferson St BLDG SHCH
Hobbs, NM 88240

Mailing address

1600 North Main
Credentialing Department
Lovington, NM 88260
Phone (575) 396-6611

Other practice location 1

800 N Jefferson St
Hobbs, NM 88240-5332
Phone (575) 396-6611

Other names 1

  • Eagle Student Heath Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hobbs Specialty Clinic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 N Jefferson St
Bldg Shch
Hobbs, NM 88240
Phone (575) 433-3030

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1366930380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NORTH MAIN",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "88260",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N JEFFERSON ST BLDG SHCH",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "88240",
            "telephone_number": "575-433-3030",
            "fax_number": "575-433-3031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882405332",
            "country_code": "US",
            "telephone_number": "575-396-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOR-LEA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "575-396-6611"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Student Heath Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.