| Organization Name: | SIERRA VISTA HOSPITAL 69 |
| NPI Number: | 1689638942 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOMENICA M RUSH (CEO) |
| Mailing Address: | 800 E 9th Ave Truth Or Consequences |
| State: | NM US |
| Postal Code: | 879011954 |
| Phone Number: | 5058942111 |
| Fax Number: | 5058947659 |
| NPI Enumeration Date: | 04/13/2006 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 6667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |