| St. Vincent Hospital | |
|
1631 Hospital Dr Ste 112 Santa Fe NM 87505-4728 | |
| (505) 913-4780 | |
| (505) 913-6780 |
| Full Name | St. Vincent Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1631 Hospital Dr Ste 112, Santa Fe, New Mexico |
| Authorized Official Name and Position | Reuben Murray (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5059135271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital 455 Saint Michaels Dr Santa Fe NM 87505-7601 Ph: (505) 913-5227 | St. Vincent Hospital 1631 Hospital Dr Ste 112 Santa Fe NM 87505-4728 Ph: (505) 913-4780 |
| NPI Number | 1992461255 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Certification Date | 10/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992461255 | NPI | - | NPPES |
| PENDING | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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