NPIMap

Organization Active NPI

Miners Colfax Medical Center

  • Nursing Facility/Intermediate Care Facility
  • Raton, NM
National Provider Identifier
1871630665
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
5083 Issued in NM
Legal business name
MINERS COLFAX MEDICAL CENTER
Practice address
900 S 6TH St
Raton, NM 87740-4224
Phone
(505) 445-4518
NPI assigned
Jan 31, 2007
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MINERS COLFAX MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Brian Roland
Title
Ceo
Phone
(575) 445-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 5083 NM Primary

Addresses

Primary practice location

900 S 6TH St
Raton, NM 87740-4224

Mailing address

200 Hospital Dr
Raton, NM 87740-2013
Phone (505) 445-3661

Other identifiers 1

IdentifierTypeStateIssuer
I0472MedicaidNM

Other names 1

  • Miiners Colfax Medical Center LTC Nursing Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
Miners Colfax Medical Center2 organizations share this tax ID, including this one
Part of
Miners Colfax Medical Center

Other organizations with this tax ID 1

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

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.

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1871630665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402013",
            "telephone_number": "505-445-3661",
            "fax_number": "505-445-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 6TH ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877404224",
            "telephone_number": "505-445-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERS COLFAX MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINERS COLFAX MEDICAL CENTER",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-445-7722"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NM",
            "license": "5083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "I0472",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miiners Colfax Medical Center LTC Nursing Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Raton, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.