OrganizationActive
Roswell Clinic Corp
NPI 1417656869 · Rural Health Clinic/Center · Roswell, NM
Roswell Clinic Corp is a Rural Health Clinic/Center organization in Roswell, NM (NPI 1417656869).
Provider details
- NPI number
- 1417656869
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Director, Provider Enrollment(615) 465-3334
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 W Country Club Rd Ste 230
Roswell, NM 88201-5240
Phone: (575) 622-1411
Street-level locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Other names (DBA / former)
- Doing business as
- Ponderossa Medical Associates
Registry dates
- Enumerated
- 2023-02-24
- Last updated
- 2023-02-24
- Certified
- 2023-02-16
Frequently asked questions
- What is Roswell Clinic Corp's NPI number?
- Roswell Clinic Corp's National Provider Identifier (NPI) is 1417656869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roswell Clinic Corp?
- Roswell Clinic Corp is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Roswell Clinic Corp located?
- Roswell Clinic Corp's practice location on file with NPPES is 300 W Country Club Rd Ste 230, Roswell, NM 88201-5240.
- What is Roswell Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for Roswell Clinic Corp is (575) 622-1411.
- Who is the authorized official for Roswell Clinic Corp?
- The authorized official listed on Roswell Clinic Corp's NPPES record is Jennifer Jackson, Sr Director, Provider Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roswell Clinic Corp's NPI active?
- Yes — Roswell Clinic Corp's NPI (1417656869) is active in the NPPES registry as of the last update on 2023-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.