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General NPI Number Information
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NPI Number | 1871530428
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Entity Type | Organization
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Legal Business Name | LEA REGIONAL HOSPITAL LLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 5419 N LOVINGTON HWY
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City | HOBBS
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State | NM
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Zip | 88240-9100
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Country | US
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Telephone | 505-492-5000
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Fax | 505-492-5505
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Provider Business Mailing Address
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Address Line | PO BOX 848156
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City | DALLAS
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State | TX
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Zip | 75284-8156
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Country | US
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Telephone | 505-492-5000
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Fax | 505-492-5505
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Authorized Official
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Title or Position | DIRECTOR / DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 615-925-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 6745
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License Number State | NM
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