NPIMap

Organization Active NPI

Deming Hospital Corporation

Doing business as Mimbres Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Deming, NM
National Provider Identifier
1710196571
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
6552 Issued in NM
Legal business name
DEMING HOSPITAL CORPORATION
Doing business as
Mimbres Memorial Hospital
Practice address
900 W Ash St
Deming, NM 88030-4000
Phone
(505) 546-5800
NPI assigned
May 21, 2007
Last updated
Aug 11, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DEMING HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Randy Michael Cooper
Title
SVP Finance Op/Authorized Official
Phone
(615) 221-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 6552 NM Primary

Addresses

Primary practice location

900 W Ash St
Deming, NM 88030-4000

Mailing address

PO Box 844814
Dallas, TX 75284-4814
Phone (575) 546-5800

Other names 1

  • Mimbres Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200311002388 NM Part A Provider - Critical Access Hospital 4981599206 Practice locations: Deming, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710196571. Details of each certification follow.

Hospital certification: CCN 32Z309

Legal name
DEMING HOSPITAL CORPORATION
Doing business as
MIMBRES VALLEY MEDICAL CENTER
Organization structure
CorporationProprietary
Enrollment address
900 W Ash St
Deming, NM 88030-4000
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Deming Hospital Corporation6 organizations share this tax ID, including this one
Part of
Deming Hospital Corporation

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

122 N Gold Ave
Deming, NM 88030
Phone (575) 546-2731

122 S Gold Ave
Deming, NM 88030
Phone (505) 544-4663

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Henry Kunath Individual Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2023
Corporate DirectorSr Vice President/Treasurer/Cfo Sep 6, 2023
Christopher M Harrison Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Corporate DirectorPresident/Ceo Apr 1, 2025
Quorum Health Corporation Organization, Brentwood, TN Corporation 5% Or Greater Direct Ownership Interest Apr 29, 2016 100%
Gtam Onshore Blocker 2 LLC Organization, New York, NY LLC, Investment firm 5% Or Greater Indirect Ownership Interest Dec 20, 2023 19.34%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Aug 5, 2020 100%
Laura Fey Individual Corporate DirectorVP Physician Services Financial Ops Aug 27, 2018
W-2 Managing EmployeeVP Physician Services Financial Ops Aug 27, 2018
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 82.37%
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Quincy Health LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Steven W Frantz Individual Corporate DirectorVice President Aug 10, 2022
Donald Esposito Individual Corporate OfficerSVP & Secretary Sep 16, 2021
Corporate DirectorSVP & Secretary Sep 16, 2021

Facilities with the same owner 32

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

  • Deming Hospital Corporation

    dba Mimbres Valley Medical Group

    • Rural Health Clinic/Center
    • Deming, NM
    • NPI 1134526221

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Deming Hospital Corporation

    dba Mimbres Memorial Hospital

    • Critical Access Hospital
    • Deming, NM
    • NPI 1891075446

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • San Miguel Hospital Corporation

    dba Alta Vista Regional Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Las Vegas, NM
    • NPI 1598537862

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation
    • Rural Health Clinic/Center
    • Alpine, TX
    • NPI 1275988669

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Critical Access Hospital
    • Alpine, TX
    • NPI 1356312243

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Bend Hospital Corporation

    dba Big Bend Regional Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Alpine, TX
    • NPI 1689773756

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • General Acute Care Hospital
    • Big Spring, TX
    • NPI 1336976034

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Big Spring Texas Hospital Company LLC

    dba Scenic Mountain Medical Center

    • Psychiatric Hospital Unit
    • Big Spring, TX
    • NPI 1770310476

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Lyman, WY
    • NPI 1134666944

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Evanston Regional Hospital

    • Medicare Defined Swing Bed Hospital Unit
    • Evanston, WY
    • NPI 1356313506

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Bridger Valley Medical Group

    • Rural Health Clinic/Center
    • Mountain View, WY
    • NPI 1427595271

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
  • Evanston Hospital Corporation

    dba Evanston Regional Hospital

    • General Acute Care Hospital
    • Evanston, WY
    • NPI 1639140015

    Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation

    CMS ownership
View all 32

Practitioners & affiliated clinicians

Practitioners 41

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 41

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1710196571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844814",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844814",
            "telephone_number": "575-546-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ASH ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304000",
            "telephone_number": "505-546-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMING HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEMING HOSPITAL CORPORATION",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP FINANCE OP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3840"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NM",
            "license": "6552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mimbres Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mimbres Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deming, NM

Sources for this page

Verify at the official NPI Registry.