NPIMap

Organization Active NPI

Southwest Medical Associates, LLC

  • Rural Health Clinic/Center
  • Roswell, NM
National Provider Identifier
1578255253
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTHWEST MEDICAL ASSOCIATES, LLC
Practice address
1627 S Union Ave
Roswell, NM 88203-2656
Phone
(575) 625-3240
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Stephen C. Petrovich
Title
Evp, General Counsel
Phone
(615) 296-3594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1627 S Union Ave
Roswell, NM 88203-2656

Mailing address

340 Seven Springs Way Ste 100
Brentwood, TN 37027-5697
Phone (615) 296-3594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613000747 NM Part A Provider - Rural Health Clinic 7214831114 Practice locations: Roswell, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578255253. Details of each certification follow.

Rural health clinic certification: CCN 323859

Legal name
SOUTHWEST MEDICAL ASSOCIATES, LLC
Doing business as
LOVELACE HEALTH CARE CENTER-UNION
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 31, 2025
Last certification
Jan 31, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
1627 S Union Ave
Roswell, NM 88203-2656

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Locations

101 Hospital Loop NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-4430

10501 Golf Course Rd NW
Slp Ctr
Albuquerque, NM 87114
Phone (505) 727-7230

10511 Golf Course Rd NW
Ste 104
Albuquerque, NM 87114
Phone (505) 727-2116

10511 Golf Course Rd NW
Ste 201
Albuquerque, NM 87114
Phone (505) 232-1180

4420 Irving Blvd NW
Albuquerque, NM 87114
Phone (505) 727-6300

4650 Jefferson Ln NE
Albuquerque, NM 87109
Phone (505) 727-7900

4705 Montgomery Blvd NE
#301302
Albuquerque, NM 87109
Phone (505) 823-1010

500 Walter St NE
Ste 309
Albuquerque, NM 87102
Phone (505) 404-9922

8401 Constitution Ave NE
Ste 150
Albuquerque, NM 87110
Phone (505) 727-3800

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

330 Paseo del Pueblo Sur
Ste H
Taos, NM 87571
Phone (575) 758-4095

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Ardent Health Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jun 17, 2023 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Jun 17, 2023
Richard Haun Individual W-2 Managing EmployeeVP Jun 17, 2023 100%
Mary a Crabtree Individual Corporate OfficerSVP, Treasurer Jun 17, 2023
Ahs Management Company Inc. Organization, Brentwood, TN Corporation Operational/Managerial Control Jun 17, 2023 100%
Stephen C Petrovich Individual Corporate OfficerEvp, General Counsel Jun 17, 2023
Ardent Legacy Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jun 17, 2023 100%
Lovelace Health System LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Jun 17, 2023 100%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jun 17, 2023 100%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 61

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

  • Lovelace Health System LLC
    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1306914213

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System LLC
    • Rural Health Clinic/Center
    • Roswell, NM
    • NPI 1609273283

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System LLC

    dba Lovelace Regional Hospital-Roswell

    • General Acute Care Hospital
    • Roswell, NM
    • NPI 1972878361

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Westside Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1649373887

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Health System, LLC

    dba Lovelace Women's Hospital

    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1982799375

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Lovelace Unm Rehabilitation Hospital LLC
    • Rehabilitation Hospital
    • Albuquerque, NM
    • NPI 1700325677

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC, Lovelace Health System LLC

    CMS ownership
  • Ahs Claremore Regional Hospital LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1356974687

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1316579642

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC.

    dba Hillcrest Hospital Claremore

    • General Acute Care Hospital
    • Claremore, OK
    • NPI 1023398807

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Hillcrest Hospital Cushing

    • Medicare Defined Swing Bed Hospital Unit
    • Cushing, OK
    • NPI 1467523894

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Cushing Regional Hospital

    • General Acute Care Hospital
    • Cushing, OK
    • NPI 1801867643

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Utica Park Clinic Primary Care

    • Rural Health Clinic/Center
    • Henryetta, OK
    • NPI 1295232478

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
View all 61

Practitioners & affiliated clinicians

Practitioners 572

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 572

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1578255253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SEVEN SPRINGS WAY STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275697",
            "telephone_number": "615-296-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 S UNION AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882032656",
            "telephone_number": "575-625-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.