Active NPI
Miners Colfax Medical Center
- Clinic/Center
- Raton, NM
National Provider Identifier
1902143977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 6143
- Legal business name
- MINERS COLFAX MEDICAL CENTER
- Practice address
- 203 Hospital Dr
Raton, NM 87740-2012 - Phone
- (575) 445-3661
- Fax
- (575) 445-7737
- NPI assigned
- Jan 11, 2013
- Last updated
- Jan 14, 2025
- Organization subpart
- Yes
- Parent organization
- MINERS COLFAX MEDICAL CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 6143 | NM | Primary |
Addresses
Primary practice location
203 Hospital Dr
Raton, NM 87740-2012
Mailing address
203 Hospital Dr
Raton, NM 87740-2012
Phone (575) 445-3661
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46946 | Medicaid | NM | |
| 00968 | Medicaid | NM | |
| 94005139 | Medicaid | CO |
Other names 1
- MCMC OUTPATIENT CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Miners Colfax Medical Center
- 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.
-
- Nursing Facility/Intermediate Care Facility
- Raton, NM
- NPI 1871630665
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.
-
- Critical Access Hospital
- Raton, NM
- NPI 1083931109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1902143977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HOSPITAL DR",
"city": "RATON",
"state": "NM",
"postal_code": "877402012",
"telephone_number": "575-445-3661",
"fax_number": "575-445-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HOSPITAL DR",
"city": "RATON",
"state": "NM",
"postal_code": "877402012",
"telephone_number": "575-445-3661",
"fax_number": "575-445-7737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINERS COLFAX MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MINERS COLFAX MEDICAL CENTER",
"enumeration_date": "2013-01-11",
"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": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NM",
"license": "6143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46946",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94005139",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MCMC OUTPATIENT CLINIC",
"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.