South Central Colfax County Special Hospital District
NPI 1588890909ActiveOrganization· Clinical Medical Laboratory· Springer, NM
Clinical Medical Laboratory in Springer, New Mexico, registered in NPPES in June 2009, part of South Central Colfax County Special Hospital District. The authorized official on file is Ashley Deherrera, Administrator. Medicare paid $50,789 for services to 415 patients in 2024.
Overview
| NPI | 1588890909 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Central Colfax County Special Hospital District |
| NPI issued | Jun 1, 2009 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 415 |
|---|---|
| Services billed | 4,245 across 140 procedure codes |
| Paid by Medicare | $50,789 |