SANTA FE MEDICAL GROUP LLC NPI 1851401103

NPI Information

NPI: 1851401103
Provider Name: SANTA FE MEDICAL GROUP, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2801 RODEO RD
STE B-13
SANTA FE, NM
ZIP 87507
Phone: (505) 474-0120
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SANTA FE MEDICAL GROUP, LLC is a primary care clinic center in Santa Fe, NM. SANTA FE MEDICAL GROUP, LLC NPI is 1851401103. The provider is registered as an organization entity type.

The provider's business location address is:

2801 RODEO RD
STE B-13
SANTA FE, NM
ZIP 87507-503
Phone: (505) 474-0120
Fax: (505) 474-4693

The provider's authorized official is Christopher Elliot .
The authorized official title is Executive Billing Mg and has the following contact phone number (505) 923-4634.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 2/28/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54443	MEDICAID	NEW 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

NPI Synchronization or Removal

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