CIMARRON HEALTHCARE CLINIC
NPI 1124254545
Clinic/Center - Health Service in Cimarron, NM

Active since June 01, 2009CLIA 32D0536861 · Waiver
31039B HWY 64, CIMARRON, NM 87714(575) 377-3301(575) 376-2107 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cimarron Healthcare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CIMARRON HEALTHCARE CLINIC (NPI 1124254545) is a healthcare organization registered as a health service in Cimarron, New Mexico and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Annabelle Sillas-graves, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124254545
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSOUTH CENTRAL COLFAX COUNTY HOSPITAL DISTRICT
Location Address31039B HWY 64Cimarron, NM 87714-9646
Mailing Address31039b Hwy 64Cimarron, NM 87714-9646 · (575) 377-3301 · Fax (575) 376-2107
Fax(575) 376-2107
Organization SubpartYes
Authorized OfficialAnnabelle Sillas-gravesAdministrator · (575) 377-3301
Enumeration DateJune 1, 2009
Last NPPES UpdateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1124254545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
31039B HWY 64, Cimarron, NM 87714

Other Names 1

Doing Business AsCimarron Healthcare Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cimarron Healthcare Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Cimarron Healthcare Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1528515509
31039B HWY 64
Cimarron, NM 87714
(575) 376-2402
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720483266
199 HIGHWAY 50
Pecos, NM 87552
(505) 757-6482
✔ PECOS✔ Accepts Medicare78 mi
Nurse Practitioner
NPI 1366163107
16158 AIRLINE HWY STE 103
Prairieville, LA 70769
(225) 963-9355
✔ PECOS✔ Accepts Medicare911 mi
Nurse Practitioner
NPI 1649290081
3055 MCKEE RD
San Jose, CA 95127
(408) 729-9700
✔ PECOS✔ Accepts Medicare938 mi
Family Practice
NPI 1679630388
1061 HARMON AVE SUITE 1D03
Fort Stewart, GA 31314
(912) 435-6633
✔ PECOS✔ Accepts Medicare1,370 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D0536861

Cimarron Healthcare Clinic · Cimarron, NM
Active · expires Aug 31, 2028
CLIA Number32D0536861
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Michael J. Rossi
Laboratory Phone(575) 376-2402
Laboratory LocationCimarron Healthcare Clinic31039 B Us Hwy 64, Cimarron, NM 87714
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Central Colfax County Hospital District's NPI number?

The NPI number for South Central Colfax County Hospital District is 1124254545. It was assigned to this organization in the NPPES registry on June 1, 2009. The provider is doing business as Cimarron Healthcare Clinic.

Where is South Central Colfax County Hospital District located?

South Central Colfax County Hospital District is located at 31039B Hwy 64, Cimarron, NM 87714. The listed phone number is (575) 377-3301.

What is South Central Colfax County Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is South Central Colfax County Hospital District enrolled in Medicare?

Yes. South Central Colfax County Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Central Colfax County Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to South Central Colfax County Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Central Colfax County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0536861) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Central Colfax County Hospital District was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.