Roswell Clinic Corp

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

ROSWELL CLINIC CORP

Practice address

603 W Country Club Rd
Roswell, NM 88201-5211

Phone

(575) 624-4922

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer L Jackson

Title

SNR Director Provider Enrollment

Phone

(615) 465-3334

Specialties & licenses 1

Addresses

Other names 1

• Roswell Family Medicine and Walk-In Clinic Doing business as

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

CLIA laboratory certificates

Tax ID family

Roswell Clinic Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Roswell Clinic Corp

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1417656869
  NPD tax ID
• Roswell Clinic Corp

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1710687942
  NPD tax ID

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447950670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7429",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015211",
            "telephone_number": "575-624-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SNR DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-3334"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell Family Medicine and Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Clinic Corp
• Roswell Ear, Nose & Throat & Allergy L. L. C.
• Roswell Family Care, LLC

• Rural Health Clinic/Center in Roswell, NM
• Providers in Roswell, NM by specialty
• Rural Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.