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

Roswell Hospital

Organization Psychiatry Physician · NPI 1619902863

Roswell Hospital is a Psychiatry Physician in Roswell, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006

Practice location Address checks out

405 W Country Club Rd
Roswell, NM 88201-5209
Phone: (505) 622-8170
Fax: (505) 624-8751
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2002-0076 (NM)

Record details

NPI number1619902863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Portacci — Group Vp · (615) 465-7000
Other names Eastern New Mexico Medical Center
NPI enumeratedJuly 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address405 W Country Club Rd, Roswell, NM 88201-5209

Other providers in Roswell