| Organization Name: | MESCALERO INDIAN HOSPITAL |
| NPI Number: | 1891886065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DORLYNN LOUISE SIMMONS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 318 Abalone Loop Mescalero |
| State: | NM US |
| Postal Code: | 883400210 |
| Phone Number: | 5054644441 |
| Fax Number: | 5054643877 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 12/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |