CIBOLA GENERAL HOSPITAL (CIBOLA GENERAL HOSPITAL CORPORATION) NPI 1780677039

General Acute Care Hospital (Critical Access) in Grants, NM

NPI 1780677039 Organization General Acute Care Hospital Critical Access CLIA Number 32D0058013 CLIA Certificate of Accreditation

About CIBOLA GENERAL HOSPITAL (CIBOLA GENERAL HOSPITAL CORPORATION)

Cibola General Hospital (cibola General Hospital Corporation) is a hospital serving the Grants, New Mexico region. The facility is a general acute care hospital. The NPI number of this hospital is 1780677039 and was assigned on August 2005. The hospital's primary taxonomy code is 282NC0060X with license number 6079 (NM). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Cibola General Hospital. The authorized official of this NPI record is Donna Rojas (Credentialing Specialist)

According to the Hospital Compare program data, Cibola General Hospital doesn't have an overall quality rating because there are too few measures or measure groups reported to calculate a star rating or measure group score. The hospital provides emergency services like acute medical care or trauma care.

The CLIA number of Cibola General Hospital is 32D0058013 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Cibola General Hospital 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.

NPI

1780677039

Provider NameCIBOLA GENERAL HOSPITAL (CIBOLA GENERAL HOSPITAL CORPORATION)
Provider Location Address1016 E ROOSEVELT AVE GRANTS, NM 87020
Provider Mailing Address1016 E ROOSEVELT AVE GRANTS, NM 87020
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCIBOLA GENERAL HOSPITAL
Other Name TypeDoing Business As (3)
Enumeration Date08-23-2005
Last Update Date08-18-2020


Primary Taxonomy

Taxonomy Code282NC0060X
ClassificationGeneral Acute Care Hospital
TypeHospitals
SpecializationCritical Access
License No.6079
License StateNM
Taxonomy DescriptionDefinition to come.

Business Address

CIBOLA GENERAL HOSPITAL
1016 E ROOSEVELT AVE
GRANTS, NM
ZIP 87020
Phone: (505) 287-5300
Fax: (505) 287-5309

Get Directions


Mailing Address

CIBOLA GENERAL HOSPITAL
1016 E ROOSEVELT AVE
GRANTS, NM
ZIP 87020
Phone: (505) 287-5300
Fax: (505) 287-5309



Authorized Official

Authorized Official Name DONNA ROJAS
Authorized Official TitleCREDENTIALING SPECIALIST
Authorized Official Phone(505) 287-5202

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.
Hospital TypeCritical Access Hospitals - Government - Local
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - Data submitted were based on a sample of cases/patients.
Safety of Care0 - Data submitted were based on a sample of cases/patients.
Readmission0
Patient Experience8 - Not Available
Effectiveness of CareNot Available - Not Available
Timeliness of CareNot Available - Results are not available for this reporting period.
Efficient use of Medical Imaging11 - Data suppressed by CMS for one or more quarters.

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 the NPI number 1780677039 is:

CLIA Number32D0058013
Facility TypeHOSPITAL
Certificate TypeCertificate of Accreditation

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000729MEDICAID (05)NM
321308OTHER (01)NM

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265489389DR. CHANDER S BHATIA MD
Individual
Emergency Medicine1016 E ROOSEVELT AVE EMERGENCY DEPARTMENT
GRANTS, NM 87020
(505) 287-5260
1134155443MR. EDWARD S SANSHU CRNA
Individual
Nurse Anesthetist, Certified Registered1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4446
1629122973MR. MERTON OLAI JOHNSON CRNA
Individual
Nurse Anesthetist, Certified Registered1016 E ROOSEVELT AVE
GRANTS, NM 87020
(406) 488-2295
1093024275CIBOLA GENERAL HOSPITAL PHCY
Organization
Pharmacy (Institutional Pharmacy)1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-5320
1669954053 ANGELA MARIE MONTGOMERY FNP
Individual
Nurse Practitioner (Family)1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4447
1023593472 MEGAN PATRICIA GRETEMAN PA-C
Individual
Physician Assistant1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4446
1770047441FEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC
Organization
Emergency Medicine1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4446
1699885517VISTA EMERGENCY PHYSICIANS
Organization
Emergency Medicine1016 E ROOSEVELT AVE
GRANTS, NM 87020
(973) 251-1132
1588694871EDWARD S. SANSHU CERTIFIED & REG
Organization
Nurse Anesthetist, Certified Registered1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4446
1376149062 ALICIA RENEE BALOK RN, IBCLC
Individual
Registered Nurse (Lactation Consultant)1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4446
1558711846DR. ALFREDO NEVAREZ M.D.
Individual
Family Medicine1016 E ROOSEVELT AVE
GRANTS, NM 87020
(505) 287-4446

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.