Organization · Type 2 NPI

Southeastern New Mexico Surgical Center, LLC

Ambulatory Surgical Clinic/Center · Roswell, NM

NPI number 1073594446 Active

Practice location

113 E 19th St
Roswell, NM 88201-5151

Fax (505) 627-7007

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	6786 (NM)

Ambulatory Surgical Clinic/Center: Definition to come...

Other ambulatory surgical clinic/center providers in Roswell

Roswell Surgery Center LLCAmbulatory Surgical Clinic/Center Roswell, NM NPI 1154027654

See all in Roswell →

NPI record

NPI: 1073594446
Entity type: Organization (Type 2)
Issued: Nov 10, 2005
Last updated: Aug 22, 2020
Status: Active

Other names

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Center for Ambulatory Surgery and Endoscopy of Southeastern New Mexico · doing business as

Authorized official

Mrs. Lauri J Rose, MBA, CASC
Administrator
(505) 627-7000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073594446

Southeastern New Mexico Surgical Center, LLC's National Provider Identifier is 1073594446, issued on Nov 10, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Roswell, NM. The record was last updated on Aug 22, 2020.