Active NPI
Roswell Medical Care
- Health Maintenance Organization
- Roswell, NM
National Provider Identifier
1710127220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- ROSWELL MEDICAL CARE
- Practice address
- 111 W Hobbs
Roswell, NM 88203 - Phone
- (575) 623-3311
- Fax
- (575) 622-1273
- NPI assigned
- Feb 23, 2009
- Last updated
- Feb 23, 2009
- Organization subpart
- Yes
- Parent organization
- ROSWELL OSTEOPATHIC MEDICAL CLINIC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Penny Kelley
- Title
- Owner
- Phone
- (575) 623-3311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | NU | Primary |
Addresses
Primary practice location
111 W Hobbs
Roswell, NM 88203
Mailing address
111 W Hobbs
Roswell, NM 88203
Phone (575) 623-3311
National Provider Directory
National Provider Directory- Part of
- Roswell Osteopathic Medical
Locations
111 W Hobbs St
Roswell, NM 88203
Phone (505) 623-3311
Ownership & related parties
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.
-
- Family Medicine Physician
- Roswell, NM
- NPI 1144314287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235347200000",
"number": "1710127220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W HOBBS",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88203",
"telephone_number": "575-623-3311",
"fax_number": "575-622-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W HOBBS",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88203",
"telephone_number": "575-623-3311",
"fax_number": "575-622-1273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSWELL MEDICAL CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROSWELL OSTEOPATHIC MEDICAL CLINIC",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "PENNY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-623-3311"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
- Roswell Hospital Corporation (Eastern New Mexico Medical Center)
- Roswell Hospital Corporation (Eastern New Mexico Medical Center)
- Roswell Hospital Corporation (Eastern New Mexico Medical Center)
- Roswell Independent School District
- Roswell Infusions LLC
- Roswell Operations, LLC
- Roswell Oral & Facial Surgery, LLC
- Roswell Osteopathic Medical Clinic, Inc
- Roswell Skin Center, LLC
- Roswell Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.