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NPI 1578075016

OrganizationActive

State of New Mexico

NPI 1578075016 · Special Hospital · Roswell, NM

Provider details

NPI number: 1578075016
Entity type: Organization
Primary specialty: Special HospitalHospitals
Parent organization: State of New Mexico
Authorized official: Jose Gurrola, Administrator
License: 6026 (NM)

Practice location

72 Gail Harris St

Roswell, NM 88203-8116

Phone: (575) 347-3400

Fax: (575) 347-5177

More NM providers

Mailing address

72 Gail Harris St

Roswell, NM 88203-8116

Registry dates

Enumerated: 2017-10-24
Last updated: 2017-10-24

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

State of New Mexico — NPI 1578075016, Roswell, NM | NPI Central