Organization Name: | NOR LEA GENERAL HOSPITAL |
NPI Number: | 1063882058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLI ELIZABETH MCCALL (FNP/NURSE PRACTITIONER) |
Mailing Address: | 1600 N Main Ave Lovington |
State: | NM US |
Postal Code: | 882602830 |
Phone Number: | 5753965059 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2015 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | CNP-02768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |