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Contact Information

ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
1412 SOUTH AVENUE O
SUITE B
PORTALES, NM88130-7091
 Phone: 505-226-4663
 Fax: 505-226-4664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

NPI Number 1235324815
LBN Legal business name ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT
Authorized official GARY PARTIN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2007
Last updated 12/20/2007 - About 18 years ago
Identifiers
NM License # 3178
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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