| Santa Fe Medical Group, Llc | |
|
2801 Rodeo Rd Ste B-13 Santa Fe NM 87507-6503 | |
| (505) 474-0120 | |
| (505) 474-4693 |
| Full Name | Santa Fe Medical Group, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2801 Rodeo Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Christopher Elliot (EXECUTIVE BILLING MG) |
| Authorized Official Contact | 5059234634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Fe Medical Group, Llc 7601 Jefferson Blvd Ne Ste 340 Albuquerque NM 87109-4496 Ph: (505) 338-3851 | Santa Fe Medical Group, Llc 2801 Rodeo Rd Ste B-13 Santa Fe NM 87507-6503 Ph: (505) 474-0120 |
| NPI Number | 1851401103 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851401103 | NPI | - | NPPES |
| 54443 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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