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ST. VINCENT HOSPITAL NPI 1568589653


NPI Information

NPI: 1568589653
Provider Name: ST. VINCENT HOSPITAL

Doing Business As: ARROYO CHAMISO PEDIATRIC REHAB

Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization

CLIA Number: 32D0536451

Address:
2025 SOUTH GALISTEO ST
SANTA FE, NM
ZIP 87505
Phone: (505) 995-4901
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ST. VINCENT HOSPITAL is a rehabilitation practitioner in Santa Fe, NM. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. ST. VINCENT HOSPITAL NPI is 1568589653. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arroyo Chamiso Pediatric Rehab.

The provider's business location address is:

2025 SOUTH GALISTEO ST
SANTA FE, NM
ZIP 87505-101
Phone: (505) 995-4901
Fax: (505) 989-6483

The provider's authorized official is J Alex Valdez .
The authorized official title is Ceo and has the following contact phone number (505) 820-5202.

The CLIA number assigned to this NPI record is 32D0536451 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 3/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredNo
22251P0200XPhysical TherapistPediatricsNo
3225XP0200XOccupational TherapistPediatricsNo
4235Z00000XSpeech-Language PathologistNo
5225400000XRehabilitation PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100521049MEDICARE PINNEW MEXICO
246433MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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