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ROSWELL CLINIC CORP
NPI 1447950670
Clinic/Center - Rural Health in Roswell, NM

Active since March 07, 2023
603 W COUNTRY CLUB RD, ROSWELL, NM 88201(575) 624-4922 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roswell Clinic Corp NPPES

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

ROSWELL CLINIC CORP (NPI 1447950670), doing business as Roswell Family Medicine And Walk-in Clinic, is a healthcare organization registered as a rural health in Roswell, New Mexico and active in the NPI registry since March 2023. The organization lists Jennifer L Jackson, Snr Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1447950670
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameROSWELL CLINIC CORP
Location Address603 W COUNTRY CLUB RDRoswell, NM 88201-5211
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7429 · Fax (615) 628-6877
Phone(575) 624-4922
Organization SubpartNo
Authorized OfficialJennifer L JacksonSnr Director Provider Enrollment · (615) 465-3334
Enumeration DateMarch 7, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1447950670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
603 W COUNTRY CLUB RD, Roswell, NM 88201
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Other Names 1

Doing Business AsRoswell Family Medicine And Walk-in Clinic

Other Providers at the Same Location NPPES 6

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

MICHELINE R OLSON NP
Nurse Practitioner (Family)
603 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 622-1477
MRS. ANN M MATAKAS FNP-C
Nurse Practitioner (Family)
603 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 624-4922
MRS. MEGAN NIKOLE COLBY APRN, MSN, FNP-C
Nurse Practitioner (Family)
603 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 624-4922
STANISLAV V BELYAEV MD
Internal Medicine (Pulmonary Disease)
603 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 624-5624
HELEN BLACK LMSW
Social Worker
603 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 622-1477
MS. REBEL MARY REAVIS FNP-C
Nurse Practitioner (Family)
603 W COUNTRY CLUB RD
ROSWELL, NM 88201
Chaves County (575) 624-4922

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 Clinic Corp's NPI number?

The NPI number for Roswell Clinic Corp is 1447950670. It was assigned to this organization in the NPPES registry on March 7, 2023. The provider is doing business as Roswell Family Medicine and Walk-In Clinic.

Where is Roswell Clinic Corp located?

Roswell Clinic Corp is located at 603 W Country Club Rd, Roswell, NM 88201. The listed phone number is (575) 624-4922.

What is Roswell Clinic Corp's specialty?

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

When was this NPI record last updated?

The NPPES record for Roswell Clinic Corp was last updated on March 7, 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.