Enmu-Roswell School Based Health Center

LBN: Enmu-Roswell School Based Health Center
Enmu-Roswell School Based Health Center is an health care organization with primary practice located at 1601 E Bland St , Roswell NM 88203-7900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Enmu-Roswell School Based Health Center can be contacted via phone (505) 627-2808, or through Dearing, Jeneva Jewel via phone (505) 627-2808.

Contact Information

Primary practice address
1601 E Bland St Roswell NM 88203-7900
Phone: (505) 627-2808
Fax: (505) 624-2290
Website:
Map and Directions
Authorized official contact:
Name: Dearing, Jeneva Jewel Certified Medical Assistant (CMA)
Phone: (505) 627-2808

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1548315864
LBN Legal business name Enmu-Roswell School Based Health Center
DBA Doing business as
Authorized official Dearing, Jeneva Jewel Certified Medical Assistant (CMA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 13th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548315864 NPPES
New Mexico MEDICAID 9A01

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