NPIMap

Organization Active NPI

Mescalero Indian Hospital

  • Clinic/Center
  • Mescalero, NM
National Provider Identifier
1649593443
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
R64860 Issued in NM
Legal business name
MESCALERO INDIAN HOSPITAL
Practice address
318 Abalone Loop
Mescalero, NM 88340
Phone
(575) 464-4441
Fax
(575) 464-4422
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dorlynn Simmons, CEO
Title
Ceo
Phone
(575) 464-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X R64860 NM Primary

Addresses

Primary practice location

318 Abalone Loop
Mescalero, NM 88340

Mailing address

PO Box 210
Mescalero, NM 88340-0210
Phone (575) 464-4441

National Provider Directory

National Provider Directory
Tax ID family
Mescalero Indian Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1649593443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400210",
            "telephone_number": "575-464-4441",
            "fax_number": "575-464-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ABALONE LOOP",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "88340",
            "telephone_number": "575-464-4441",
            "fax_number": "575-464-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESCALERO INDIAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "DORLYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-464-4441",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "R64860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mescalero, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.