Organization · Type 2 NPI

State of New Mexico

Long Term Care Hospital · Santa Clara, NM

NPI number 1982730669 Active · reactivated Feb 22, 2017

Practice location

41 Fort Bayard Road
Santa Clara, NM 88026

Call (575) 537-8600 Map

Fax (575) 537-8869

Mailing address

PO Box 293
Santa Clara, NM 88026-0293

Specialties and licenses

Taxonomy	Code	License
Long Term Care Hospital Primary	282E00000X	5011 (NM)
Nursing Facility/Intermediate Care Facility	313M00000X	None listed
Skilled Nursing Facility	314000000X	5011 (NM)

Long Term Care Hospital: Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

NPI record

NPI: 1982730669
Entity type: Organization (Type 2)
Issued: Feb 26, 2007
Last updated: Dec 12, 2024
Status: Active
Subpart: Yes of NM Department of Health

Other names

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Fort Bayard Medical Center · doing business as
Fort Bayard Medical Center · doing business as

Authorized official

Sherri Bays
CFO
(575) 537-8606

Verify this record

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 1982730669

State of New Mexico's National Provider Identifier is 1982730669, issued on Feb 26, 2007. The primary taxonomy on file is Long Term Care Hospital (282E00000X), and the practice location is in Santa Clara, NM. The record was last updated on Dec 12, 2024.