Organization Active NPI

Roswell Medical Care

  • Health Maintenance Organization
  • Roswell, NM
National Provider Identifier
1710127220
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ROSWELL OSTEOPATHIC MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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)CodeLicenseStatePrimary
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.

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

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.

Verify at the official NPI Registry.