# CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1164801627
- **Authorized official:** SANDRA JUDY BSN,RN,CDE (DIABETES CLINICAL EDUCATOR)
- **Authorized official phone:** (505) 913-4307

## Contact information

- **Practice address:** 455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
- **Practice address phone:** (505) 913-4307
- **Mailing address:** 455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
- **Mailing address phone:** (505) 913-4307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN76458 | NM | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015
