NPIMap

Organization Active NPI

Nor-Lea Hospital District

Doing business as Hobbs Medical Clinic

  • Rural Health Clinic/Center
  • Hobbs, NM
National Provider Identifier
1992171433
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
4T3543 Issued in NM
Legal business name
NOR-LEA HOSPITAL DISTRICT
Doing business as
Hobbs Medical Clinic
Practice address
1923 N Dal Paso St
Suite a
Hobbs, NM 88240-3023
Phone
(575) 433-3000
Fax
(575) 396-4451
NPI assigned
Aug 19, 2015
Last updated
Dec 30, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NOR-LEA HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
David B Shaw
Title
Ceo/Administrator
Phone
(575) 396-6611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 1T3543 NM
Rural Health Clinic/Center 261QR1300X 4T3543 NM Primary

Addresses

Primary practice location

1923 N Dal Paso St
Suite a
Hobbs, NM 88240-3023

Mailing address

1600 North Main
Lovington, NM 88260-2830
Phone (575) 396-9059

Other identifiers 1

IdentifierTypeStateIssuer
32-3404OtherNMMEDICARE PTAN-RURAL HEALTH CLINIC

Other names 1

  • Hobbs Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208000238 NM Part A Provider - Rural Health Clinic 2466364534 Practice locations: Hobbs, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992171433. Details of each certification follow.

Rural health clinic certification: CCN 323404

Legal name
NOR-LEA HOSPITAL DISTRICT
Doing business as
HOBBS MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 20, 2016
Last certification
Jun 25, 2025
Ownership / control type
2A
Organization structure
OtherNon-profit
Incorporated
Mar 4, 1980 in NM
Enrollment address
1923 N Dal Paso St
Ste a
Hobbs, NM 88240-3023
Related CCNs
321305

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

Other NPIs with the same Medicare PAC ID 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2103273Hobbs Medical Clinic1923 N Dal Paso Suite a, Hobbs, NM 88240Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hobbs Specialty Clinic11 organizations share this tax ID, including this one
Part of
Hobbs Specialty Clinic

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Agustin Dorado Individual Corporate DirectorBoard Member Dec 14, 2015
Rosina a Insilan Individual Corporate DirectorBoard Member Aug 23, 2023
Robert de la Cruz Individual Corporate DirectorBoard Member Aug 23, 2023
Luz Maria Soto Individual W-2 Managing EmployeeCredentialing Specialist May 9, 2023
Beatriz Adriana Arreola Individual W-2 Managing EmployeeBilling Manager Sep 1, 2006
Manuel Quiroz Individual Corporate DirectorBoard Member Aug 24, 2016
Melinda Reyes Cervantes Individual W-2 Managing EmployeeDirector of Revenue Cycle Apr 1, 2000
Tammy a Armitige Individual W-2 Managing EmployeeClinic Manager Oct 1, 2010
David B Shaw Individual Corporate OfficerCeo/Administrator Dec 14, 2015
Operational/Managerial ControlCeo Administrator Dec 14, 2015
Julia Ann Myers Individual Corporate DirectorBoard Member Dec 14, 2015

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Nor-Lea General HospitalLovington, NM, CCN 321305 Hospital Operational/Managerial Control Mar 4, 1980
Nor-Lea General Hospital - Swing BedLovington, NM, CCN 32Z305 Hospital Operational/Managerial Control Aug 2, 2002
Lovington ClinicLovington, NM, CCN 323400 Rural health clinic Operational/Managerial Control Oct 28, 1994
Tatum ClinicTatum, NM, CCN 323984 Rural health clinic Operational/Managerial Control (100%) Jul 14, 1982
Family Health Center of Lea CountyHobbs, NM, CCN 323405 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2015

Owned or controlled facilities with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1992171433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NORTH MAIN",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-9059",
            "fax_number": "575-396-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N DAL PASO ST",
            "address_2": "SUITE A",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882403023",
            "telephone_number": "575-433-3000",
            "fax_number": "575-396-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOR-LEA HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOR-LEA HOSPITAL DISTRICT",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "575-396-6611"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NM",
            "license": "1T3543",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NM",
            "license": "4T3543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-RURAL HEALTH CLINIC",
            "identifier": "32-3404",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hobbs Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

Verify at the official NPI Registry.