Fort Bayard Medical Center

LBN: State Of New Mexico
Fort Bayard Medical Center is an health care organization with primary practice located at 41 Fort Bayard Road , Santa Clara NM 88026. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Long Term Care Hospital, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / Long Term Care Hospital is the primary health care specialty. State Of New Mexico can be contacted via phone (575) 537-8600, or through Winder, Todd via phone (575) 537-8600.

Contact Information

Primary practice address
41 Fort Bayard Road Santa Clara NM 88026
Phone: (575) 537-8600
Fax: (575) 537-8869
Website:
Map and Directions
Authorized official contact:
Name: Winder, Todd NHA
Phone: (575) 537-8600

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Long Term Care Hospital 282E00000X 5011 New Mexico
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 5011 New Mexico

Profile Details

NPI number 1982730669
LBN Legal business name State Of New Mexico
DBA Doing business as Fort Bayard Medical Center
Authorized official Winder, Todd NHA
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2007
Last updated Aug 7th, 2019 - about 6 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 1982730669 NPPES
New Mexico Other NM00N526 BLUE CROSS BLUE SHIELD
New Mexico Other 014 BLUE CROSS BLUE SHIELD
New Mexico MEDICAID 51972786 BLUE CROSS BLUE SHIELD
New Mexico Other 3204574 BLUE CROSS BLUE SHIELD
New Mexico MEDICAID 50716 BLUE CROSS BLUE SHIELD
New Mexico Other AL3362097 BLUE CROSS BLUE SHIELD

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