Taos Health Systems Inc Holy Cross Hospital

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL

Doing business as

Holy Cross Hospital Penasco Clinic

Practice address

#24 Highway 73
Penasco, NM 87553-0205

Phone

(575) 587-1833

Fax

(575) 587-1918

NPI assigned

Jan 10, 2007

Last updated

Apr 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick E Rose

Title

Special Projects

Phone

(575) 751-8905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holy Cross Hospital Penasco Clinic Doing business as

Member of 1

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

• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049

  Member Of

  NPD member

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1669521282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-751-8905",
            "fax_number": "575-751-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#24 HIGHWAY 73",
            "city": "PENASCO",
            "state": "NM",
            "postal_code": "875530205",
            "telephone_number": "575-587-1833",
            "fax_number": "575-587-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPECIAL PROJECTS",
        "authorized_official_telephone_number": "575-751-8905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S5239",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Hospital Penasco Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori D Romero
• Arturo D Sisneros, DDS
• Natasha Ann Snake
• Lisa Spero, CNP
• Lyn M. St. Louis, DH

• Community Health Clinic/Center in Penasco, NM
• Providers in Penasco, NM by specialty
• Community Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.