New Mexico Rehabilitation Center

LBN: State Of New Mexico
New Mexico Rehabilitation Center is an health care organization with primary practice located at 72 Gail Harris St , Roswell NM 88203-8116. The organization recently has only one registered license in Hospitals / Special Hospital, which is considered as the primary health care specialty. State Of New Mexico can be contacted via phone (575) 347-3400, or through Gurrola, Jose Luis via phone (575) 347-3410.

Contact Information

Primary practice address
72 Gail Harris St Roswell NM 88203-8116
Phone: (575) 347-3400
Fax: (575) 347-5177
Website:
Map and Directions
Authorized official contact:
Name: Gurrola, Jose Luis
Phone: (575) 347-3410

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Special Hospital 284300000X 6026 New Mexico

Profile Details

NPI number 1578075016
LBN Legal business name State Of New Mexico
DBA Doing business as New Mexico Rehabilitation Center
Authorized official Gurrola, Jose Luis
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 24th, 2017
Last updated Oct 24th, 2017 - about 8 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 1578075016 NPPES
New Mexico MEDICAID 0273

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