EAGLE STUDENT HEATH CENTER – NPI #1366930380
Clinic/Center

EAGLE STUDENT HEATH CENTER is an AHC clinic located in HOBBS, NM. NPPES has assigned the NPI number 1366930380 to EAGLE STUDENT HEATH CENTER on April 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAGLE STUDENT HEATH CENTER” is a dba name, the actual legal business name for this organization is NOR-LEA HOSPITAL DISTRICT. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 8 years ago on Aug 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLE STUDENT HEATH CENTER below.

NPI Profile for
NOR-LEA HOSPITAL DISTRICT

NPI Number
1366930380
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOR-LEA HOSPITAL DISTRICT
Doing Business As (dba): EAGLE STUDENT HEATH CENTER
Primary location
800 N JEFFERSON ST BLDG SHCH
HOBBS, NM 88240
Phone: (575) 433-3030 Fax: (575) 433-3031
1 Other location(s):
800 N Jefferson St
Hobbs, NM 88240-5332
Phone: (575) 396-6611
Mailing address
1600 NORTH MAIN
CREDENTIALING DEPARTMENT
LOVINGTON, NM 88260
Phone: (575) 396-6611 Fax: (575) 396-1454
Organization Subpart
No
Authorized Official
DAVID SHAW
CEO/ADMINISTRATOR
Phone: (575) 396-6611
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.