NPIMap

Organization Active NPI

Lovelace Health System LLC

Doing business as Lovelace Regional Hospital-Roswell

  • General Acute Care Hospital
  • Roswell, NM
National Provider Identifier
1972878361
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1T 352 Issued in NM
Legal business name
LOVELACE HEALTH SYSTEM LLC
Doing business as
Lovelace Regional Hospital-Roswell
Practice address
117 E 19TH St
Roswell, NM 88201-5151
Phone
(575) 625-3308
Fax
(575) 627-7007
NPI assigned
Mar 19, 2012
Last updated
May 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ARDENT LEGACY HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Stephen C Petrovich
Title
SVP
Phone
(615) 296-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1T 352 NM Primary

Addresses

Primary practice location

117 E 19TH St
Roswell, NM 88201-5151

Mailing address

117 E 19TH St
Roswell, NM 88201-5151
Phone (575) 625-3308

Other identifiers 1

IdentifierTypeStateIssuer
07707576MedicaidNM

Other names 1

  • Lovelace Regional Hospital-Roswell Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120316000627 NM Part A Provider - Hospital 9739099326 Practice locations: Roswell, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972878361. Details of each certification follow.

Hospital certification: CCN 320086

Legal name
LOVELACE HEALTH SYSTEM LLC
Doing business as
LOVELACE REGIONAL HOSPITAL ROSWELL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 11, 2007
Last certification
Apr 24, 2025
Beds
27
Ownership / control type
Private (for profit)
Most recent change of ownership
Feb 1, 2012 (3 total)
Organization structure
CorporationProprietary
Incorporated
Oct 29, 1984 in NM
Enrollment address
117 E 19TH St
Roswell, NM 88201-5151
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lovelace Regional Hospital - RoswellCCN 320086 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lovelace Health Plan24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ardent Health Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Aug 4, 2015 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 16, 2020
Richard Haun Individual Corporate Officer Jul 1, 2023
W-2 Managing EmployeePresident Jul 1, 2023 100%
Mary a Crabtree Individual Corporate OfficerVP and Treasurer Feb 1, 2012
Ahs Management Company Inc. Organization, Brentwood, TN Corporation Operational/Managerial Control Jan 1, 2019 100%
Stephen C Petrovich Individual Corporate OfficerSenior VP and Secretary Feb 1, 2012
Corporate DirectorSenior VP and Secretary Feb 1, 2012
Ardent Legacy Holdings LLC Organization, Brentwood, TN Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lovelace Unm Rehabilitation HospitalAlbuquerque, NM, CCN 323028 Hospital 5% Or Greater Direct Ownership Interest (51%)
5% Or Greater Security Interest (51%)
Operational/Managerial Control (51%)		 May 1, 2017
May 1, 2017
May 1, 2017
Lovelace Health Care Center-UnionRoswell, NM, CCN 323859 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 17, 2023

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 61

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 61

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 133

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

View all 133

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1972878361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "575-625-3308",
            "fax_number": "575-627-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 19TH ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "telephone_number": "575-625-3308",
            "fax_number": "575-627-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE HEALTH SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARDENT LEGACY HOLDINGS LLC",
        "enumeration_date": "2012-03-19",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "1T 352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07707576",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovelace Regional Hospital-Roswell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lovelace Regional Hospital-Roswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.