Roosevelt County Special Hospital District

NPI #1093801292 in Portales, New Mexico

Provider Information

NPI Number: 1093801292
Entity Type: Organization
Organization Name: Roosevelt County Special Hospital District
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 5, 2006
Last Updated: Oct 29, 2012

Practice Location

Address: 42121 US HWY 70
City: Portales
State: New Mexico
ZIP Code: 88130-9357
Phone: (575) 356-6652

Authorized Official

Name: DR. LARRY LEAMING
Title: CEO ADMINISTRATOR
Phone: (505) 359-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Surgery	208600000X
Family Medicine	207Q00000X

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