| Organization Name: | NORTHWEST MEDICAL CENTER INC. |
| NPI Number: | 1376891762 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DON W. HEDGES (PRESIDENT) |
| Mailing Address: | 6463 4th St Nw Los Ranchos |
| State: | NM US |
| Postal Code: | 871075810 |
| Phone Number: | 5053453572 |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2012 |
| NPI Last Update Date: | 08/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | A62474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |