Roswell Hospital
Psychiatry & Neurology, Psychiatry in Roswell, NM. Organization (NPI-2).
NPI number1619902863
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619902863
- Entity type
- Organization (NPI-2)
- Legal business name
- Roswell Hospital
- Organization subpart
- No
- Enumeration date
- Jul 12, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 2002-0076 | NM | Yes |
Other names
- Eastern New Mexico Medical Center (Doing Business As)
Practice location
405 W Country Club RdRoswell, NM 88201-5209
Phone 505-622-8170 · Fax 505-624-8751
Mailing address
405 W Country Club RdRoswell, NM 88201-5209
Phone 505-622-8170 · Fax 505-624-8751
Authorized official
Michael Portacci
Group Vp
6154657000
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