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Roswell Clinic Corp — NPI 1417656869, Roswell, NM | NPI Central

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OrganizationActive

Roswell Clinic Corp

NPI 1417656869 · Rural Health Clinic/Center · Roswell, NM

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

Rural Health Clinic/CenterPrimary261QR1300X
Ambulatory Health Care Facilities

Practice location

300 W Country Club Rd Ste 230

Roswell, NM 88201-5240

Phone: (575) 622-1411

Approximate (ZIP-level) locationGet directions

More NM providers

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

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.