ROSWELL HOSPITAL CORPORATION
NPI 1134828585
Clinic/Center - Rural Health in Roswell, NM

Active since February 24, 2023CLIA 32D0980227 · Waiver
712 W HOBBS ST, ROSWELL, NM 88203(575) 623-5263 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roswell Hospital Corporation NPPES

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

ROSWELL HOSPITAL CORPORATION (NPI 1134828585), doing business as La Familia Care Center Of Enmmc, is a healthcare organization registered as a rural health in Roswell, New Mexico and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Jennifer L Jackson, Snr Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1134828585
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameROSWELL HOSPITAL CORPORATION
Location Address712 W HOBBS STRoswell, NM 88203-3646
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7429 · Fax (615) 628-6877
Organization SubpartNo
Authorized OfficialJennifer L JacksonSnr Director Provider Enrollment · (615) 465-3334
Enumeration DateFebruary 24, 2023
NPPES CertifiedFebruary 23, 2023
NPI 1134828585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
712 W HOBBS ST, Roswell, NM 88203

Other Names 1

Doing Business AsLa Familia Care Center Of Enmmc

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 32D0980227

Roswell Hospital Corp Dba La Familia Primary Care · Roswell, NM
Active · expires Mar 20, 2027
CLIA Number32D0980227
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorSamuel Itie
Laboratory Phone(575) 623-5263
Laboratory LocationRoswell Hospital Corp Dba La Familia Primary Care712 W Hobbs, Roswell, NM 88203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
712 W HOBBS ST
ROSWELL, NM 88203
Physician Assistant
712 W HOBBS ST
ROSWELL, NM 88203
Nurse Practitioner (Family)
712 W HOBBS ST
ROSWELL, NM 88203

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 Roswell Hospital Corporation's NPI number?

The NPI number for Roswell Hospital Corporation is 1134828585. It was assigned to this organization in the NPPES registry on February 24, 2023. The provider is doing business as La Familia Care Center of ENMMC.

Where is Roswell Hospital Corporation located?

Roswell Hospital Corporation is located at 712 W Hobbs St, Roswell, NM 88203. The listed phone number is (575) 623-5263.

What is Roswell Hospital Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Roswell Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0980227) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roswell Hospital Corporation was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.