Jal Hospital District
NPI 1558583005 · Clinic/Center · Jal, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jal Hospital District is a Clinic/Center organization in Jal, NM (NPI 1558583005).
Provider details
- NPI number
- 1558583005
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Liza Tackett, Credentialing Administrator(575) 395-3400
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Jal Clinic
- Doing business as
- Jal Clinic
Additional practice locations (1)
- 310 Continental DriveJal, NM 88252Phone: (575) 395-3400Fax: (575) 395-2235
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Frequently asked questions
- What is Jal Hospital District's NPI number?
- Jal Hospital District's National Provider Identifier (NPI) is 1558583005, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jal Hospital District?
- Jal Hospital District is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jal Hospital District located?
- Jal Hospital District's practice location on file with NPPES is 805 West Kansas Avenue, Jal, NM 88252.
- What is Jal Hospital District's phone number?
- The practice phone number listed in the NPPES registry for Jal Hospital District is (575) 395-3400.
- Does Jal Hospital District accept Medicare?
- Jal Hospital District is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jal Hospital District?
- The authorized official listed on Jal Hospital District's NPPES record is Liza Tackett, Credentialing Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jal Hospital District's NPI active?
- Yes — Jal Hospital District's NPI (1558583005) is active in the NPPES registry as of the last update on 2024-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.