NPIMap

Organization Active NPI

Lovelace Health System, LLC

  • General Acute Care Hospital
  • Albuquerque, NM
National Provider Identifier
1982799375
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3139 Issued in NM
Legal business name
LOVELACE HEALTH SYSTEM, LLC
Practice address
4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone
(505) 727-7805
Fax
(505) 727-7888
NPI assigned
Oct 3, 2006
Organization subpart
Yes
Parent organization
ARDENT LEGACY HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3139 NM Primary

Addresses

Primary practice location

4701 Montgomery Blvd NE
Albuquerque, NM 87109

Mailing address

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-7805

Other identifiers 2

IdentifierTypeStateIssuer
32-0017OtherNMMEDICARE
73824062MedicaidNM

Other names 1

  • Lovelace Women's Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031024000048 NM Part A Provider - Hospital 9739099326 Practice locations: Albuquerque, NM

Hospital certification: CCN 320017

Legal name
LOVELACE HEALTH SYSTEM LLC
Doing business as
LOVELACE WOMENS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 8, 2024
Beds
120
Ownership / control type
Private (for profit)
Most recent change of ownership
Oct 1, 2003 (2 total)
Organization structure
CorporationProprietary
Incorporated
Oct 29, 1984 in NM
Enrollment address
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Other Hospital Practice Location
Hospital subgroups
Acute care

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 Women'S HospitalCCN 320017
Overall star rating
4 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 Westside Hospital24 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, Nashville, TN LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 16, 2020
Mary a Crabtree Individual Corporate OfficerVP and Treasurer Mar 1, 2005
Ahs Management Company Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Jan 1, 2019 100%
Stephen C Petrovich Individual Corporate OfficerSVP Secretary and General Counsel Oct 24, 2003
Corporate Director Aug 4, 2015
Matt Maxfield Individual Corporate OfficerPresident and Ceo Jul 1, 2022 100%
W-2 Managing EmployeePresident and Ceo Jul 1, 2022 100%
Ardent Legacy Holdings LLC Organization, Nashville, TN Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%
Ahp Health Partners, Inc Organization, Nashville, 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 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 98

Affiliated clinicians 442

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

View all 442

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1982799375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-727-7805",
            "fax_number": "505-727-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-727-7805",
            "fax_number": "505-727-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELACE HEALTH SYSTEM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARDENT LEGACY HOLDINGS, LLC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-05-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NM",
            "license": "3139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "32-0017",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73824062",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lovelace Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lovelace Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.