# SANTA CLARA HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043396377
- **Authorized official:** ROBERT LYON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (505) 988-9821

## Contact information

- **Practice address:** STATE ROAD 30 LOS ALAMOS HIGHWAY, ESPANOLA, NM 87532
- **Practice address phone:** (505) 753-9421
- **Mailing address:** RR 5 BOX 446, ESPANOLA, NM 87532-8908
- **Mailing address phone:** (505) 753-9421
- **Mailing address fax:** (505) 753-5039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H1232 | NM | Yes |

## Other

- **Enumeration date:** 10/30/2006
- **Last updated:** 02/08/2008
