State of New Mexico

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

5011 Issued in NM

Legal business name

STATE OF NEW MEXICO

Doing business as

Fort Bayard Medical Center

Practice address

41 Fort Bayard Road
Santa Clara, NM 88026

Phone

(575) 537-8600

Fax

(575) 537-8869

NPI assigned

Feb 26, 2007

Reactivated

Feb 22, 2017

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

NM DEPARTMENT OF HEALTHAs reported in NPPES

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

Authorized official

Name

Sherri Bays

Title

Cfo

Phone

(575) 537-8606

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Fort Bayard Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982730669. Details of each certification follow.

• CCN 325120 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 325120

Legal name

STATE OF NEW MEXICO

Doing business as

FORT BAYARD MEDICAL CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 20, 2009

Last certification

Aug 9, 2024

Beds

200

Ownership / control type

State

Organization structure

GovernmentNon-profit

Enrollment address

41 Fort Bayard Road
Santa Clara, NM 88026-0293

Nursing home name

FORT BAYARD MEDICAL CENTER

Other NPIs with the same Medicare PAC ID 4

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

• New Mexico Department of Health

  dba Department of Health Immunization

  • Public Health or Welfare Agency
  • Santa Fe, NM
  • NPI 1578609459

  1052210689

  Same PAC ID
• State of New Mexico

  dba New Mexico State Veterans Home Physicians

  • Skilled Nursing Facility
  • Truth Or Consequences, NM
  • NPI 1578730230

  1052210689

  Same PAC ID
• State of New Mexico

  dba New Mexico Rehabilitation Center

  • Rehabilitation Hospital
  • Roswell, NM
  • NPI 1922094770

  1052210689

  Same PAC ID
• State of New Mexico

  dba New Mexico State Veterans Home

  • Assisted Living Facility
  • Truth Or Consequences, NM
  • NPI 1942287370

  1052210689

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

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

• New Mexico Department of Health

  dba Department of Health Immunization

  • Public Health or Welfare Agency
  • Santa Fe, NM
  • NPI 1578609459

  O20110118000115

  Same enrollment
• State of New Mexico

  dba New Mexico State Veterans Home Physicians

  • Skilled Nursing Facility
  • Truth Or Consequences, NM
  • NPI 1578730230

  O20110118000115

  Same enrollment
• State of New Mexico

  dba New Mexico Rehabilitation Center

  • Rehabilitation Hospital
  • Roswell, NM
  • NPI 1922094770

  O20110118000115

  Same enrollment

Listed as

Fort Bayard Medical CenterCCN 325120 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - State

Certified

Jun 20, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

200127.0 residents per day on average

Penalties (3 years)

2Fines totaling $83,501

Processed by Care Compare on Aug 1, 2026.

Part of

Las Vegas Medical Cente

All disclosed owners & managing parties 4

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

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• State of New Mexico

  dba New Mexico State Veterans Home

  • Assisted Living Facility
  • Truth Or Consequences, NM
  • NPI 1942287370

  Adp of the SNF, Operational/Managerial Control, Trustee of the SNF

  CMS ownership

Practitioners 1

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.

• Lisa Marie Stolarczyk, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1497930176
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1982730669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "SANTA CLARA",
            "state": "NM",
            "postal_code": "880260293",
            "telephone_number": "575-537-8600",
            "fax_number": "575-537-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FORT BAYARD ROAD",
            "city": "SANTA CLARA",
            "state": "NM",
            "postal_code": "88026",
            "telephone_number": "575-537-8600",
            "fax_number": "575-537-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NM DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "deactivation_date": "2017-02-13",
        "reactivation_date": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BAYS",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "575-537-8606"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "5011",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NM",
            "license": "5011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "014",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.A.B.P. IDENTIFIER #",
            "identifier": "3204574",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51972786",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00N526",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50716",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.E. A. IDENTIFIER NUMBER",
            "identifier": "AL3362097",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Bayard Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Bayard Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Hospital in Santa Clara, NM
• Providers in Santa Clara, NM by specialty
• Long Term Care Hospital in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.