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

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

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 6

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

Corporate family (same tax ID) 10

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

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

Facilities with the same owner 4

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

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 59

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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
Other Hospital Practice Location

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Agustin Dorado
Individual
Corporate Director Aug 27, 2008
Maria Coleman
Individual
W-2 Managing Employee
Credentialing Specialist
Nov 21, 2016
Nor-Lea Hospital District
Organization · Lovington, NM
Operational/Managerial Control Aug 2, 2002
Rosina a Insilan
Individual
Corporate Director
Board Member
Aug 23, 2023
Robert de la Cruz
Individual
Corporate Director
Board Member
Aug 23, 2023
Luz Maria Soto
Individual
W-2 Managing Employee May 9, 2023
Beatriz Adriana Arreola
Individual
W-2 Managing Employee
Billing Manager
Sep 1, 2006
Manuel Quiroz
Individual
Corporate Director
Board Member
Aug 24, 2016
Melinda Reyes Cervantes
Individual
W-2 Managing Employee
Director of Revenue Cycle
Apr 1, 2000
David B Shaw
Individual
Corporate Director
Ceo Administrator
Dec 20, 1999
Julia Ann Myers
Individual
Corporate Director Aug 25, 2010

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nor-Lea General Hospital
Lovington, NM · CCN 321305
Hospital Operational/Managerial Control Mar 4, 1980
Lovington Clinic
Lovington, NM · CCN 323400
Rural health clinic Operational/Managerial Control Oct 28, 1994
Tatum Clinic
Tatum, NM · CCN 323984
Rural health clinic Operational/Managerial Control (100%) Jul 14, 1982
Family Health Center of Lea County
Hobbs, NM · CCN 323405
Rural health clinic Operational/Managerial Control (100%) Oct 1, 2015

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100929001570 NM Part a Provider - Critical Access Hospital 2466364534 Practice locations: Lovington, NM

National Provider Directory

Tax ID family
Nor-Lea Hospital District (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 name

Other providers in Lovington, NM

All providers in Lovington, NM · Medicare Defined Swing Bed Hospital Unit in New Mexico

Sources for this page

Verify at the official NPI Registry.