Nor-Lea Hospital District
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Lovington, NM
NPI 1598899874 · NPPES record last updated Dec 18, 2009
Key facts
- NPI
- 1598899874
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 3102 (NM)
- Legal business name
- NOR-LEA HOSPITAL DISTRICT
- Practice address
- 1600 North Main
Lovington, NM 88260-2813 - Phone
- (575) 396-6611
- Fax
- (575) 396-0318
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
Authorized official
- Name
- David Brian Shaw
- Title
- Ceo/Administrator
- Phone
- (575) 396-6611
Owners & managing parties with NPI records 7
-
Maria Coleman, LMHC
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 10
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 59
-
Stephen Scott Adams, LPCC
-
Feranie B Conley, FNP
-
Seth Coombs, MD
-
Juditt Cruz, APRN-CNP
-
Jordan Parley Day, DPM
-
Marrisa Dean, CNP
-
Marsha Dunkley, MD
-
Jesus J Fonseca, M.D.
-
Deborah Frempong, FNP, PMHNP
-
Kelsey Garcia, FNP-C
-
Patrick J Homer, D.O.
-
Ronald D Hopkins, D.O.
-
Will Innocent, M.D
-
Rodney Blair Kemp, LPCC
-
Kavitha Kirubanandan, M.D
-
Claudia Edith McCrory, FNP-C
-
Michael R Pena, M.D. PHD
-
Nageena Potluri, MD
Affiliated clinicians 1
-
Sara Thorp, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Hospital certification: CCN 32Z305
- Legal name
- NOR-LEA HOSPITAL DISTRICT
- Doing business as
- NOR-LEA GENERAL HOSPITAL - SWING BED
- Organization structure
- Other · Non-profit
- Incorporated
- Aug 1, 2002 in NM
- Enrollment address
- 1600 North Main
Nor-Lea General Hospital - Swing Bed
Lovington, NM 88260-2813
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Agustin Dorado |
Corporate Director | Aug 27, 2008 | |
| Maria Coleman |
W-2 Managing Employee |
Nov 21, 2016 | |
| Nor-Lea Hospital District |
Operational/Managerial Control | Aug 2, 2002 | |
| Rosina a Insilan |
Corporate Director |
Aug 23, 2023 | |
| Robert de la Cruz |
Corporate Director |
Aug 23, 2023 | |
| Luz Maria Soto |
W-2 Managing Employee | May 9, 2023 | |
| Beatriz Adriana Arreola |
W-2 Managing Employee |
Sep 1, 2006 | |
| Manuel Quiroz |
Corporate Director |
Aug 24, 2016 | |
| Melinda Reyes Cervantes |
W-2 Managing Employee |
Apr 1, 2000 | |
| David B Shaw |
Corporate Director |
Dec 20, 1999 | |
| Julia Ann Myers |
Corporate Director | Aug 25, 2010 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Nor-Lea General Hospital |
Hospital | Operational/Managerial Control | Mar 4, 1980 |
| Lovington Clinic |
Rural health clinic | Operational/Managerial Control | Oct 28, 1994 |
| Tatum Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Jul 14, 1982 |
| Family Health Center of Lea County |
Rural health clinic | Operational/Managerial Control (100%) | Oct 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100929001570 | NM | Part a Provider - Critical Access Hospital | 2466364534 | Practice locations: Lovington, NM |
National Provider Directory
- Tax ID family
- Nor-Lea Hospital District
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 3102 | NM | Yes |
Addresses
Primary practice location
1600 North Main
Lovington, NM 88260-2813
Mailing address
1600 North Main
Lovington, NM 88260-2813
Phone (575) 396-6611
Other names
- Swing Bed Program
Other providers in Lovington, NM
- Nor Lea General Hospital
- Nor-Lea General Hospital
- Nor-Lea Hospital District
- Nor-Lea Hospital District
- Nor-Lea Hospital District
- Nor-Lea Hospital District
- Nor-Lea Hospital District
- Nor-Lea Hospital District
- Nowell Pharmacy LLC
- Adilene Nunez
All providers in Lovington, NM · Medicare Defined Swing Bed Hospital Unit in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.