NPIMap

Organization Active NPI

Gila Regional Medical Center

  • Rural Health Clinic/Center
  • Silver City, NM
National Provider Identifier
1730722265
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GILA REGIONAL MEDICAL CENTER
Practice address
3185 N Leslie Rd
Silver City, NM 88061-7211
Phone
(575) 534-0400
Fax
(575) 534-0600
NPI assigned
Oct 28, 2019
Organization subpart
Yes
Parent organization
GILA REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Richard W Stokes
Title
Chief Financial Officer
Phone
(575) 538-4130

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

3185 N Leslie Rd
Silver City, NM 88061-7211

Mailing address

3185 N Leslie Rd
Silver City, NM 88061-7211
Phone (575) 534-0400

Other names 1

  • Gila Regional Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191230000219 NM Part A Provider - Rural Health Clinic 9931006319 Practice locations: Silver City, NM

Rural health clinic certification: CCN 323412

Legal name
GILA REGIONAL MEDICAL CENTER
Doing business as
GILA REGIONAL FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 29, 2020
Last certification
Sep 19, 2023
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
3185 N Leslie Rd
Silver City, NM 88061-7211
Related CCNs
321311

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2091612Gila Regional Family Medicine3185 N Leslie Rd, Silver City, NM 88061Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Joshua Goldman MD4 organizations share this tax ID, including this one
Part of
Joshua Goldman MD

Other organizations with this tax ID 3

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

Locations

3185 N Leslie Rd
Silver City, NM 88061
Phone (505) 388-3393

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Alden Joe Individual Corporate OfficerRevenue Cycle Director Aug 4, 2025 100%
W-2 Managing EmployeeAd; Aug 4, 2025 100%
County of Grant Organization, Silver City, NM 5% Or Greater Direct Ownership Interest Sep 28, 2020 100%

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1730722265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 N LESLIE RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617211",
            "telephone_number": "575-534-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 N LESLIE RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617211",
            "telephone_number": "575-534-0400",
            "fax_number": "575-534-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GILA REGIONAL MEDICAL CENTER",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "575-538-4130"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gila Regional Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.