MIMBRES MEMORIAL NURSING HOME
NPI 1073584579
Skilled Nursing Facility in Deming, NM

NPI Status: Active since February 01, 2006

Contact Information

900 W ASH ST
DEMING, NM
ZIP 88030
Phone: (575) 546-5800
Fax: (575) 543-6907

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  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance
  • CLIA Number: 32D0537202
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-30-2028

About MIMBRES MEMORIAL NURSING HOME

This page provides the complete NPI Profile along with additional information for Mimbres Memorial Nursing Home, a provider established in Deming, New Mexico operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1073584579 assigned on February 2006. The practitioner's primary taxonomy code is 314000000X with license number 5158 (NM). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Mimbres Memorial Nursing Home. The authorized official of this NPI record is Randy Michael Cooper (Svp Finance Op/authorized Official)

NPI
1073584579
Provider Legal Name
DEMING HOSPITAL CORPORATION
Other Organization Name
MIMBRES MEMORIAL NURSING HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 W ASH ST DEMING, NM 88030
Location Phone
(575) 546-5800
Location Fax
(575) 543-6907
Mailing Address
900 W ASH ST DEMING, NM 88030
Mailing Phone
(575) 546-5800
Mailing Fax
(575) 543-6907
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-01-2006
Last Update Date
08-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
5158
License State
NM
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO
  • Standard Silver + Vision + Adult Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDY MICHAEL COOPER

Authorized Official Title
SVP FINANCE OP/AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 221-3840

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
32D0537202
Facility Type
Hospital
Certificate Effective Date
March 31, 2026
Certificate Expiration Date
March 30, 2028
Laboratory Director
CHUKWUYEJULUMAFOR NWANZE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Mimbres Memorial Nursing Home on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073584579, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 0 + 8 + 8 + 5 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073584579.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

General Acute Care Hospital
900 W ASH ST
DEMING, NM 88030
Anesthesiology
900 W ASH ST
DEMING, NM 88030
Emergency Medicine
900 W ASH ST
DEMING, NM 88030
Nurse Anesthetist, Certified Registered
900 W ASH ST
DEMING, NM 88030
Pharmacist
900 W ASH ST
DEMING, NM 88030
Emergency Medicine
900 W ASH ST
DEMING, NM 88030
Emergency Medicine
900 W ASH ST
DEMING, NM 88030
Skilled Nursing Facility
900 W ASH ST
DEMING, NM 88030
Nurse Practitioner
900 W ASH ST
DEMING, NM 88030
Anesthesiology
900 W ASH ST
DEMING, NM 88030
Emergency Medicine
900 W ASH ST
DEMING, NM 88030
Dietitian, Registered
900 W ASH ST
DEMING, NM 88030
Medicare Defined Swing Bed Unit
900 W ASH ST
DEMING, NM 88030
General Acute Care Hospital (Critical Access)
900 W ASH ST
DEMING, NM 88030
Nurse Anesthetist, Certified Registered
900 W ASH ST
DEMING, NM 88030
Anesthesiology (Pain Medicine)
900 W ASH ST
DEMING, NM 88030
Emergency Medicine
900 W ASH ST
DEMING, NM 88030
Skilled Nursing Facility
900 W ASH ST
DEMING, NM 88030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073584579, enumerated as an "organization" on February 01, 2006.

The provider is located at 900 W ASH ST DEMING, NM 88030 and the phone number is (575) 546-5800.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.