Healthcare Provider Details

I. General information

NPI: 1811594062
Provider Name (Legal Business Name): COVENANT HOSPITAL HOBBS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 N LOVINGTON HWY
HOBBS NM
88240-9109
US

IV. Provider business mailing address

PO BOX 677044
DALLAS TX
75267-7044
US

V. Phone/Fax

Practice location:
  • Phone: 575-492-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: DONALD W ANDERSON JR.
Title or Position: ASSISTANT SECRETARY OF ENROLLMENTS
Credential:
Phone: 425-358-9786