NPIMap

Organization Active NPI

Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
National Provider Identifier
1902338049
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
6432 Issued in NM
Legal business name
TAOS HEALTH SYSTEMS, INC., HOLY CROSS HOSPITAL
Practice address
1397 Weimer Rd
Taos, NM 87571-6253
Phone
(575) 758-8883
Fax
(575) 751-5719
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Steven L Rozenboom
Title
Cfo
Phone
(575) 751-5713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 6432 NM Primary

Addresses

Primary practice location

1397 Weimer Rd
Taos, NM 87571-6253

Mailing address

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 758-8883

Other identifiers 1

IdentifierTypeStateIssuer
760MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040107000398 NM Part B Supplier - Clinic/Group Practice 8224937412 Receives reassigned benefits from 132 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Taos, NM
O20170424000809 NM Part A Provider - Critical Access Hospital 8224937412 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Taos, NM
O20220807000096 NM Part A Provider - Critical Access Hospital 8224937412 1 other NPI on this enrollment
Practice locations: Taos, NM

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1902338049. Details of each certification follow.

Hospital certification: CCN 321310

Legal name
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL
Doing business as
HOLY CROSS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 20, 2017
Last certification
Feb 19, 2026
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1980 in NM
Enrollment address
1397 Weimer Rd
Taos, NM 87571-6253

Hospital certification: CCN 32Z310

Legal name
TAOS HEALTH SYSTEMS INC HOLY CROSS HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
1397 Weimer Rd
Taos, NM 87571-6253
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Holy Cross Hospital a Div of Taos Health SystemsCCN 321310 · All quality measures
Overall star rating
1 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 4

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

Locations (25 of 72)

5891 Jefferson St NE Ste a
Albuquerque, ALBUQUERQU 87109

806 N Potomac Cir
Aurora, AURORA 80011

1300 Crane St
#3S
Menlo Park, CA 94025

2000 Van Ness Ave
Ste 208
San Francisco, CA 94109
Phone (415) 567-1014

7301 Medical Ctr
Ste 410
West Hills, CA 91307
Phone (818) 593-2191

12605 E 16th Ave
Fl 1
Aurora, CO 80045
Phone (720) 848-1980

1665 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (303) 493-7245

11700 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-8080

181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795

2675 N Decatur Rd
Ste G09
Decatur, GA 30033
Phone (404) 501-6925

1418 S Main St
Ste 5
Ottawa, KS 66067
Phone (785) 242-1620

61 Lincoln St
Ste 309
Framingham, MA 01702
Phone (508) 872-0616

2559 Medical Dr
Ste C
Alamogordo, NM 88310
Phone (505) 439-8220

1001 Martin Luther Blvd
Albuquerque, NM 87131

1201 Camino de Salud NE
Albuquerque, NM 87131

1201 Camino de Salud SE
Albuquerque, NM 87131

1202 Camino de Salud NE
Albuquerque, NM 87131

1501 San Pedro Dr SE
#G
Albuquerque, NM 87108
Phone (505) 414-0241

1501 San Pedro Dr SE
Ste 119
Albuquerque, NM 87108
Phone 5052651711 ext. 2987

1924 Juan Tabo Blvd NE
Ste B
Albuquerque, NM 87112
Phone (505) 299-1872

200 Oak St NE
Albuquerque, NM 87106
Phone (505) 242-8607

4343 Pan American Fwy NE
Ste 236
Albuquerque, NM 87107
Phone (505) 600-2511

4401 Masthead St NE
Albuquerque, NM 87109

4545 Alameda Blvd NE
Albuquerque, NM 87113
Phone (505) 896-2900

4700 Jefferson St NE
Ste 750
Albuquerque, NM 87109
Phone (505) 418-6636

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Connie Prewitt Individual Corporate OfficerChief Financial Officer Aug 6, 2021
W-2 Managing Employee Aug 6, 2021
Lucille Gallegos Jaramillo Individual Corporate DirectorBoard Member Jun 1, 2017
Hitana G Espinoza Individual W-2 Managing EmployeeRevenue Integrity Manager Jun 1, 2017
W-2 Managing EmployeePatient Financial Srvcs Director Jun 1, 2017
Taos Health Systems Inc Holy Cross Hospital Organization, Taos, NM Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jan 18, 1980 100%
Chris Stagg Individual Corporate OfficerBoard President Jun 1, 2017
Corporate DirectorBoard Member Jun 1, 2017
Corporate DirectorBoard President Jun 1, 2017
Elena Tenorio Individual W-2 Managing EmployeePatient Accounts Director Jun 30, 2025
Pamela Romero Individual Corporate DirectorBoard Member Jun 1, 2017
Frederick Peralta Individual Corporate DirectorBoard Member Jun 1, 2017
Bruce Coleman Individual Corporate OfficerBoard Treasurer Jun 1, 2017
Corporate DirectorBoard Treasurer Jun 1, 2017
Tim J Moore Individual Corporate DirectorBoard Member Jun 1, 2017
Steven L Rozenboom Individual Corporate OfficerCfo Jun 1, 2017
W-2 Managing EmployeeCfo Jun 1, 2017
Andy Torres Individual Corporate DirectorBoard Member Jun 1, 2017
Linda Aubrecht Individual Corporate DirectorBoard Member Jun 1, 2017
Gregory Trujillo Individual Corporate OfficerBoard Secretary Jun 1, 2017
Corporate DirectorBoard Secretary Jun 1, 2017
William D Patten Individual Corporate OfficerChief Executive Officer Jun 1, 2017
W-2 Managing EmployeeChief Executive Officer Jun 1, 2017
Lenora Cisneros Individual W-2 Managing EmployeeSr Executive Assistant Jun 1, 2017
Dan Guttman Individual Corporate DirectorBoard Member Jun 1, 2017
Karen Matherlee Individual Corporate OfficerBoard Vice Chair Jun 1, 2017
Corporate DirectorBoard Vice Chair Jun 1, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 850

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 850

Affiliated clinicians 230

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

View all 230

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1902338049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-758-8883",
            "fax_number": "575-751-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 WEIMER RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716253",
            "telephone_number": "575-758-8883",
            "fax_number": "575-751-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAOS HEALTH SYSTEMS, INC., HOLY CROSS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "ROZENBOOM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "575-751-5713"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NM",
            "license": "6432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.