FORT BAYARD MEDICAL CENTER – NPI #1982730669
Long Term Care Hospital

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

FORT BAYARD MEDICAL CENTER is a long term care hospital located in SANTA CLARA, NM. NPPES has assigned the NPI number 1982730669 to FORT BAYARD MEDICAL CENTER on February 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORT BAYARD MEDICAL CENTER” is a dba name, the actual legal business name for this organization is STATE OF NEW MEXICO. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282E00000X from the Health Care Provider Taxonomy code set, which is classified as Long Term Care Hospital.

The NPI profile was last updated on Dec 12, 2024. 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 FORT BAYARD MEDICAL CENTER below.

NPI Profile for
STATE OF NEW MEXICO

NPI Number
1982730669
Enumeration Date

(more than 19 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
STATE OF NEW MEXICO
Doing Business As (dba): FORT BAYARD MEDICAL CENTER
Primary location
41 FORT BAYARD ROAD
SANTA CLARA, NM 88026
Phone: (575) 537-8600 Fax: (575) 537-8869
Mailing address
PO BOX 293
SANTA CLARA, NM 88026-0293
Phone: (575) 537-8600 Fax: (575) 537-3753
Organization Subpart
Yes - FORT BAYARD MEDICAL CENTER is subpart of another organization.
Authorized Official
SHERRI BAYS
CFO
Phone: (575) 537-8606
Updated
Certification Date
Dec 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FORT BAYARD MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDNMNM00N526
otherD.E. A. IDENTIFIER NUMBERNMAL3362097
otherMOLINA HEALTHCARENM014
otherN.A.B.P. IDENTIFIER #NM3204574
medicaidNM50716
medicaidNM51972786
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
282E00000X
- Long Term Care Hospital (Primary)
NM 5011
314000000X
- Skilled Nursing Facility
NM 5011
313M00000X
- Nursing Facility/Intermediate Care Facility

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.