NPIMap

Organization Active NPI

Nor-Lea Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Lovington, NM
National Provider Identifier
1598899874
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
3102 Issued in 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
Last updated
Dec 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
David Brian Shaw
Title
Ceo/Administrator
Phone
(575) 396-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 3102 NM Primary

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 1

  • Swing Bed Program Other name

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598899874. Details of each certification follow.

Hospital certification: CCN 32Z305

Legal name
NOR-LEA HOSPITAL DISTRICT
Doing business as
NOR-LEA GENERAL HOSPITAL - SWING BED
Organization structure
OtherNon-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

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Nor-Lea Hospital District11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

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

Owners & managing parties with NPI records 7

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

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 HospitalLovington, NM, CCN 321305 Hospital Operational/Managerial Control Mar 4, 1980
Lovington ClinicLovington, NM, CCN 323400 Rural health clinic Operational/Managerial Control Oct 28, 1994
Tatum ClinicTatum, NM, CCN 323984 Rural health clinic Operational/Managerial Control (100%) Jul 14, 1982
Family Health Center of Lea CountyHobbs, NM, CCN 323405 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2015

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1598899874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NORTH MAIN",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NORTH MAIN",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOR-LEA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "575-396-6611"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NM",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swing Bed Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lovington, NM

Sources for this page

Verify at the official NPI Registry.