STATE OF NEW MEXICO

SANTA CLARA, NM
NPI1982730669
Doing Business AsFORT BAYARD MEDICAL CENTER
Entity TypeOrganization
Authorized ContactTODD WINDER
Administrator
575-537-8600
Organization Subpart ?Yes
Primary Taxonomy282E00000X 
(Licence: NM  5011)
Additional Taxonomies314000000X Skilled Nursing Facility
(Licence: NM  5011)
Enumeration Date2007-02-26
Last Update Date2019-08-07
Business Address
STATE OF NEW MEXICO
41 FORT BAYARD ROAD
SANTA CLARA, NM 88026
Phone number: 575-537-8600
Mailing Address
STATE OF NEW MEXICO
PO BOX 293
SANTA CLARA, NM 88026-0293
Phone number: 575-537-8600