Provider Demographics
NPI:1689724627
Name:EUNICE SPECIAL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:EUNICE SPECIAL HOSPITAL DISTRICT
Other - Org Name:EUNICE HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERMIN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-394-1091
Mailing Address - Street 1:1109 MAIN
Mailing Address - Street 2:PO BOX 239
Mailing Address - City:EUNICE
Mailing Address - State:NM
Mailing Address - Zip Code:88231-0239
Mailing Address - Country:US
Mailing Address - Phone:575-394-1091
Mailing Address - Fax:575-394-0215
Practice Address - Street 1:1109 MAIN ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:NM
Practice Address - Zip Code:88231-0239
Practice Address - Country:US
Practice Address - Phone:575-394-1091
Practice Address - Fax:575-394-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3198261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care