Healthcare Provider Details

I. General information

NPI: 1134526221
Provider Name (Legal Business Name): DEMING HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S 8TH ST STE B
DEMING NM
88030-4037
US

IV. Provider business mailing address

PO BOX 19072
BELFAST ME
04915-4085
US

V. Phone/Fax

Practice location:
  • Phone: 575-543-7200
  • Fax: 575-543-7250
Mailing address:
  • Phone: 575-543-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number6552
License Number StateNM

VIII. Authorized Official

Name: LAURA J FEY
Title or Position: SR. DIRECTOR PHYSICIAN REV CYCLE
Credential:
Phone: 615-221-3641