NPIMap

Organization Active NPI

Unm Sandoval Regional Medical Center, Inc

  • General Acute Care Hospital
  • Rio Rancho, NM
National Provider Identifier
1649556200
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3405 Issued in NM
Legal business name
UNM SANDOVAL REGIONAL MEDICAL CENTER, INC
Practice address
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone
(505) 994-7402
Fax
(505) 994-7409
NPI assigned
Oct 27, 2011
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Ms. Jamie Silva-Steele
Title
Ceo
Phone
(505) 994-7402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3405 NM Primary

Addresses

Primary practice location

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100

Mailing address

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone (505) 994-7402

Other identifiers 1

IdentifierTypeStateIssuer
77725042MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649556200. Details of each certification follow.

Hospital certification: CCN 320089

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UNM SANDOVAL REGIONAL MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Jan 1, 2024
Provider type (POS)
Hospital – Short-term
Participating since
Aug 17, 2012
Last certification
Mar 16, 2023
Beds
72
Ownership / control type
Private (not for profit)
Facility address
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144

National Provider Directory

National Provider Directory

Member of 1

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

Locations

Deposit Dda 412240476
Denver, CO 80291

3200 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7397

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1649556200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 BROADMOOR BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442100",
            "telephone_number": "505-994-7402",
            "fax_number": "505-994-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 BROADMOOR BLVD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442100",
            "telephone_number": "505-994-7402",
            "fax_number": "505-994-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNM SANDOVAL REGIONAL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "SILVA-STEELE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-994-7402",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77725042",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.