Roswell Hospital Corporation

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

6687 Issued in NM

Legal business name

ROSWELL HOSPITAL CORPORATION

Doing business as

Eastern New Mexico Medical Center

Practice address

405 W Country Club Rd
Roswell, NM 88201-5209

Phone

(505) 622-8170

Fax

(505) 624-8726

NPI assigned

Jan 30, 2006

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

ROSWELL HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Paula Lalor

Title

Director/Delegated Official

Phone

(629) 215-3953

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastern New Mexico Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568433431. Details of each certification follow.

• CCN 32U006 Hospital · Details

Hospital certification: CCN 32U006

Legal name

ROSWELL HOSPITAL CORPORATION

Doing business as

EASTERN NEW MEXICO MEDICAL CENTER

Organization structure

CorporationProprietary

Incorporated

Feb 10, 1998 in NM

Enrollment address

405 W Country Club Rd
Roswell, NM 88201-5209
Hospital Swing-Bed Unit

Hospital subgroups

Swing-bed approved

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 3

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

• Roswell Hospital Corporation

  dba Valley Health Clinic of Eastern New Mexico

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474

  1850204207

  Same PAC ID
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1427001759

  1850204207

  Same PAC ID
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742

  1850204207

  Same PAC ID

Tax ID family

Roswell Hosptial Corp6 organizations share this tax ID, including this one

Part of

Roswell Hosptial Corp

Other organizations with this tax ID 5

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

• Roswell Hospital

  dba Eastern New Mexico Medical Center

  • Psychiatry Physician
  • Roswell, NM
  • NPI 1619902863
  NPD tax ID
• Roswell Hospital Corporation

  dba La Familia Care Center of ENMMC

  • Rural Health Clinic/Center
  • Roswell, NM
  • NPI 1134828585
  NPD tax ID
• Roswell Hospital Corporation

  dba Valley Health Clinic of Eastern New Mexico

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474
  NPD tax ID
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742
  NPD tax ID
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • Clinical Medical Laboratory
  • Roswell, NM
  • NPI 1548880495
  NPD tax ID

All disclosed owners & managing parties 12

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

Facilities with the same owner 120

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

• Carlsbad Medical Center LLC

  dba Carlsbad Medical Center - Rehab

  • Rehabilitation Hospital Unit
  • Carlsbad, NM
  • NPI 1114949781

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Carlsbad Medical Center LLC

  dba Carlsbad Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Carlsbad, NM
  • NPI 1184137093

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Carlsbad Medical Center LLC

  dba Carlsbad Medical Center

  • General Acute Care Hospital
  • Carlsbad, NM
  • NPI 1790722346

  CHS Community Health Systems Inc

  CMS ownership
• Las Cruces Medical Center LLC

  dba Mountainview Regional Medical Center

  • General Acute Care Hospital
  • Las Cruces, NM
  • NPI 1205882503

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Roswell Hospital Corporation

  dba Valley Health Clinic of Eastern New Mexico

  • Rural Health Clinic/Center
  • Dexter, NM
  • NPI 1225161474

  CHS Community Health Systems Inc, Community Health Investment Company LLC, Community Health Systems Inc

  CMS ownership
• Roswell Hospital Corporation

  dba Eastern New Mexico Medical Center

  • General Acute Care Hospital
  • Roswell, NM
  • NPI 1447221742

  CHS Community Health Systems Inc, Community Health Investment Company LLC, Community Health Systems Inc

  CMS ownership
• Affinity Hospital LLC

  dba Grandview Medical Center

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Affinity Hospital LLC

  dba Grandview Medical Center

  • Psychiatric Hospital Unit
  • Birmingham, AL
  • NPI 1043263221

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Affinity Hospital LLC

  dba Grandview Medical Center

  • Rehabilitation Hospital Unit
  • Birmingham, AL
  • NPI 1720001019

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Bluffton, IN
  • NPI 1356839591

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Bluffton Health System LLC

  dba Bluffton Regional Medical Center

  • General Acute Care Hospital
  • Bluffton, IN
  • NPI 1376594366

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership
• Brandon Hma LLC

  dba Merit Health Rankin

  • General Acute Care Hospital
  • Brandon, MS
  • NPI 1205882669

  CHS Community Health Systems Inc, Community Health Systems Inc

  CMS ownership

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1568433431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842091",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015209",
            "telephone_number": "505-622-8170",
            "fax_number": "505-624-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSWELL HOSPITAL CORPORATION",
        "enumeration_date": "2006-01-30",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NM",
            "license": "6687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2978",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern New Mexico Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roswell Hospital Corporation
• Roswell Hospital Corporation (Eastern New Mexico Medical Center)
• Roswell Hospital Corporation (Eastern New Mexico Medical Center)
• Roswell Hospital Corporation (Eastern New Mexico Medical Center)
• Roswell Hospital Corporation (Eastern New Mexico Medical Center)
• Roswell Independent School District
• Roswell Infusions LLC
• Roswell Medical Care
• Roswell Operations, LLC
• Roswell Oral & Facial Surgery, LLC

• Medicare Defined Swing Bed Hospital Unit in Roswell, NM
• Providers in Roswell, NM by specialty
• Medicare Defined Swing Bed Hospital Unit in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.