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General NPI Number Information
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NPI Number | 1689638942
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Entity Type | Organization
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Legal Business Name | SIERRA VISTA HOSPITAL
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 800 E 9TH AVE
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City | TRUTH OR CONSEQUENCES
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State | NM
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Zip | 87901-1954
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Country | US
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Telephone | 575-894-2111
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Fax | 575-894-7659
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Provider Business Mailing Address
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Address Line | 800 E 9TH AVE
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City | TRUTH OR CONSEQUENCES
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State | NM
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Zip | 87901-1954
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Country | US
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Telephone | 575-894-2111
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Fax | 575-894-7659
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Authorized Official
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Title or Position | INTERIM CEO
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Name | MR. DAVID FAULKNER
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Credential |
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Telephone | 575-894-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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