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ST. VINCENT HOSPITAL NPI 1659540201


NPI Information

NPI: 1659540201
Provider Name: ST. VINCENT HOSPITAL

Doing Business As: DIABETES CENTER OF EXCELLENCE

Classification: Registered Nurse - 163WD0400X
Entity Type: Organization

Specialization: Diabetes Educator

Address:
465 SAINT MICHAELS DR
SUITE 115
SANTA FE, NM
ZIP 87505
Phone: (505) 946-4307
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ST. VINCENT HOSPITAL is a diabetes educator registered nurse in Santa Fe, NM. ST. VINCENT HOSPITAL NPI is 1659540201. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Diabetes Center Of Excellence.

The provider's business location address is:

465 SAINT MICHAELS DR
SUITE 115
SANTA FE, NM
ZIP 87505-670
Phone: (505) 946-4307
Fax: (505) 946-4308

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

The enumeration date for this NPI number is 2/28/2008 and was last updated on 2/12/2010.


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
1163WD0400XRegistered NurseDiabetes EducatorYes

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
18916200MEDICAIDNEW MEXICO
2100521049MEDICARE PINNEW 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: 11/14/2023

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