| Organization Name: | ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT |
| NPI Number: | 1316013402 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORENCE LEARNING (CEO) |
| Mailing Address: | 42121 Us Hwy 70 Portales |
| State: | NM US |
| Postal Code: | 881309347 |
| Phone Number: | 5753591800 |
| Fax Number: | 5753569200 |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |