| St Vincent Hospital | |
|
440 Saint Michaels Dr Ste 150 Santa Fe NM 87505-7637 | |
| (505) 913-5363 | |
| (505) 989-6409 |
| Full Name | St Vincent Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 440 Saint Michaels Dr Ste 150, Santa Fe, New Mexico |
| Authorized Official Name and Position | Hope Wade (COO) |
| Authorized Official Contact | 9286070495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Vincent Hospital 440 Saint Michaels Dr Ste 150 Santa Fe NM 87505-7637 Ph: (505) 913-5363 | St Vincent Hospital 440 Saint Michaels Dr Ste 150 Santa Fe NM 87505-7637 Ph: (505) 913-5363 |
| NPI Number | 1508403528 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Medicare PECOS PAC ID | 6608775135 |
|---|---|
| Medicare Enrollment ID | O20200124000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508403528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
| Provider Name | Rahul Dewan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598721029 PECOS PAC ID: 6305858242 Enrollment ID: I20100619000085 |
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