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ST. VINCENT HOSPITAL NPI 1235256447


NPI Information

NPI: 1235256447
Provider Name: ST. VINCENT HOSPITAL

Doing Business As: POJOAQUE PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 32D0993990

Address:
5 PETROGLYPH CIR
SUITE A
SANTA FE, NM
ZIP 87506
Phone: (505) 455-1962
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ST. VINCENT HOSPITAL is a family medicine in Santa Fe, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. VINCENT HOSPITAL NPI is 1235256447. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pojoaque Primary Care.

The provider's business location address is:

5 PETROGLYPH CIR
SUITE A
SANTA FE, NM
ZIP 87506-001
Phone: (505) 455-1962
Fax: (505) 455-2355

The provider's authorized official is J Alex Valdez .
The authorized official title is Ceo President and has the following contact phone number (505) 913-5202.

The CLIA number assigned to this NPI record is 32D0993990 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/23/2007 and was last updated on 3/13/2012.


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
1207Q00000XFamily MedicineYes

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
1G9509MEDICAIDNEW MEXICO
2800521011MEDICARE 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: 4/28/2024

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