Deming Hospital Corporation
Organization Active NPI Pediatrics Physician · Deming, NM
NPI 1861879660 · NPPES record last updated Apr 30, 2015
Key facts
- NPI
- 1861879660
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- DEMING HOSPITAL CORPORATION
- Practice address
- 721 E Holly St
Deming, NM 88030-5245 - Phone
- (575) 546-6010
- Fax
- (575) 546-7010
- NPI assigned
- Apr 30, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- DEMING HOSPITAL CORPORATION
Authorized official
- Name
- James P Wright
- Title
- Sr Director
- Phone
- (615) 465-7587
Other NPIs on the same Medicare enrollment 3
Practitioners 6
-
Victor Cruz, M.D.
-
Scott W McMahon, MD
-
Kristin Thornsberry, APRN
-
Shailen Mhapsekar, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000196 | NM | Part B Supplier - Clinic/Group Practice | 4981599206 |
Receives reassigned benefits from 39 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Deming, NM |
National Provider Directory
- Part of
- Mimbres Memorial Hospit
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
721 E Holly St
Deming, NM 88030-5245
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000
Other names
- Deming Pediatrics
Other providers in Deming, NM
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Luna County Commission on Aging, Inc.
- Deming Medical Transit and Charter
- Deming Nursing Home Company LLC
All providers in Deming, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.