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General NPI Number Information
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NPI Number | 1811594062
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Entity Type | Organization
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Legal Business Name | COVENANT HOSPITAL HOBBS
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 4900 N LOVINGTON HWY
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City | HOBBS
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State | NM
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Zip | 88240-9109
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Country | US
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Telephone | 575-492-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 677044
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City | DALLAS
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State | TX
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Zip | 75267-7044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY OF ENROLLMENTS
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Name | DONALD W ANDERSON JR.
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Credential |
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Telephone | 425-358-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number |
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License Number State |
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