Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jal Hospital District

Organization General Practice Physician · NPI 1558583005

Jal Hospital District is a General Practice Physician in Jal, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
Specialties on file
5

Practice location Address checks out

805 W Kansas Ave
Jal, NM 88252
Phone: (575) 395-3400
Fax: (575) 395-3355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 310 Continental Drive, Jal, NM 88252 — (575) 395-3400

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 6179 (NM)
General Practice Physician Taxonomy 208D00000X
Physical Therapist Taxonomy 225100000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1558583005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liza Tackett — Credentialing Administrator · (575) 395-3400
Other names Jal Clinic; Jal Clinic
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing addressPo Box Z, Jal, NM 88252-2525