| Organization Name: | MERCY REGIONAL MEDICAL CENTER OF DURANGO |
| NPI Number: | 1760795330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIRK A DIGNUM (CEO/PRESIDENT) |
| Mailing Address: | 604 S Rio Grande Ave Aztec |
| State: | NM US |
| Postal Code: | 874102260 |
| Phone Number: | 5053345640 |
| Fax Number: | 5053345649 |
| NPI Enumeration Date: | 07/23/2010 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | 1628.1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |