| Santa Fe Indian Hospital | |
|
1700 Cerrillos Rd Santa Fe NM 87505-3554 | |
| (505) 946-9264 | |
| (505) 946-9556 |
| Full Name | Santa Fe Indian Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1700 Cerrillos Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Mary Hasbah Roessel (PSYCHIATRIST) |
| Authorized Official Contact | 5059469264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Indian Hospital 1700 Cerrillos Rd Santa Fe NM 87505-3554 Ph: (505) 946-9264 | Santa Fe Indian Hospital 1700 Cerrillos Rd Santa Fe NM 87505-3554 Ph: (505) 946-9264 |
| NPI Number | 1992782650 |
|---|---|
| Provider Enumeration Date | 12/23/2005 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992782650 | NPI | - | NPPES |
| Q9691 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 89-288 (New Mexico) | Primary |
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