NPIMap

Organization Active NPI

Sierra Vista Hospital

  • Rural Health Clinic/Center
  • Truth Or Consequences, NM
National Provider Identifier
1689638942
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SIERRA VISTA HOSPITAL
Practice address
800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone
(575) 894-2111
Fax
(575) 894-7659
NPI assigned
Apr 13, 2006
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SIERRA VISTA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Mr. David Faulkner
Title
Interim Ceo
Phone
(575) 894-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954

Mailing address

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Other identifiers 1

IdentifierTypeStateIssuer
39804577MedicaidNM

Other names 2

  • Sierra Vista Community Health Care Other name
  • Sierra Vista Community Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100419000309 NM Part A Provider - Rural Health Clinic 0143122416 Practice locations: Truth Or Consequence, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689638942. Details of each certification follow.

Rural health clinic certification: CCN 323999

Legal name
SIERRA VISTA HOSPITAL
Doing business as
SIERRA VISTA COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 16, 1998
Last certification
Aug 20, 2019
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Oct 29, 1979 in NM
Enrollment address
800 E 9TH Ave
Sierra Vista Community Health Clinic
Truth Or Consequence, NM 87901-1954
Related CCNs
321300

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

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Sierra Vista Community2 organizations share this tax ID, including this one
Part of
Sierra Vista Community

Other organizations with this tax ID 1

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

Locations

1530 E Williams Field Rd
Ste 204
Gilbert, AZ 85295
Phone (480) 745-3547

1400 Silver St
Truth Or Consequences, NM 87901
Phone (575) 894-1735

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Sierra Vista Hospital Organization, Truth Or Consequences, NM Operational/Managerial Control Apr 1, 2010
David Faulkner Individual W-2 Managing EmployeeInterim Ceo Jun 9, 2025
Chun Ming Huang Individual Corporate Officer Aug 7, 2015

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Sierra Vista HospitalTruth Or Consequences, NM, CCN 321300 Hospital Operational/Managerial Control Nov 17, 2008
Sierra Vista HospitalTruth Or Consequences, NM, CCN 32Z300 Hospital Operational/Managerial Control Nov 17, 2008

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1689638942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-2111",
            "fax_number": "575-894-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 9TH AVE",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011954",
            "telephone_number": "575-894-2111",
            "fax_number": "575-894-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA VISTA HOSPITAL",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "575-894-2111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39804577",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Vista Community Health Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sierra Vista Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Truth Or Consequences, NM

Sources for this page

Verify at the official NPI Registry.