ST. VINCENT HOSPITAL NPI 1144627332

NPI Information

ST. VINCENT HOSPITAL is a general practice in Santa Fe, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ST. VINCENT HOSPITAL NPI is 1144627332. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Christus St. Vincent Entrada Health Center.

The provider's business location address is:

5501 HERRERA DR
SANTA FE, NM
ZIP 87507-684
Phone: (505) 913-3233

The provider's authorized official is Lillian Montoya .
The authorized official title is Ceo/president and has the following contact phone number (505) 913-5258.

The CLIA number assigned to this NPI record is 32D2092832 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/3/2014 and was last updated on 11/2/2018.

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:

Other Identifiers

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

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