ROSWELL CLINIC CORP
NPI 1710687942
Clinic/Center - Rural Health in Roswell, NM

Active since March 07, 2023CLIA 32D0933867 · Waiver
300 W COUNTRY CLUB RD STE 210, ROSWELL, NM 88201(575) 625-1292 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roswell Clinic Corp NPPES

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

ROSWELL CLINIC CORP (NPI 1710687942), doing business as Quickcare Of Roswell, is a healthcare organization registered as a rural health in Roswell, New Mexico and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Jennifer L Jackson, Snr Director Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1710687942
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameROSWELL CLINIC CORP
Location Address300 W COUNTRY CLUB RD STE 210Roswell, NM 88201-5240
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 DateMarch 7, 2023
NPPES CertifiedFebruary 23, 2023
NPI 1710687942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
300 W COUNTRY CLUB RD STE 210, Roswell, NM 88201

Other Names 1

Doing Business AsQuickcare Of Roswell

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 32D0933867

Roswell Clinic Corp Dba Quick Care Of Roswell · Roswell, NM
Active · expires May 8, 2028
CLIA Number32D0933867
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorDr. Virgil Herrin
Laboratory Phone(575) 625-1292
Laboratory LocationRoswell Clinic Corp Dba Quick Care Of Roswell300 W Country Club, Suite 210, Roswell, NM 88201
CLIA data matches this NPI record on: 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.

General Practice
300 W COUNTRY CLUB RD STE 210
ROSWELL, NM 88201
Otolaryngology
300 W COUNTRY CLUB RD STE 210
ROSWELL, NM 88201
Physician Assistant
300 W COUNTRY CLUB RD STE 210
ROSWELL, NM 88201

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 1710687942. It was assigned to this organization in the NPPES registry on March 7, 2023. The provider is doing business as Quickcare of Roswell.

Where is Roswell Clinic Corp located?

Roswell Clinic Corp is located at 300 W Country Club Rd Ste 210, Roswell, NM 88201. The listed phone number is (575) 625-1292.

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.

Does Roswell Clinic Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D0933867) is associated with this NPI, valid through May 8, 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 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.