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Organization
LOVELACE HEALTH SYSTEM LLC
Active
Organization
LOVELACE HEALTH SYSTEM LLC
Active
Parent organization
ARDENT LEGACY HOLDINGS, LLC
Other names
Lovelace Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARDENT LEGACY HOLDINGS, LLC
Authorized official
STEPHEN PETROVICH (CFO)
(615) 296-3000
Entity
Organization
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-2805
Mailing address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
273R00000X
Psychiatric Hospital Unit
—
NULL
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
11/30/2006
Last updated
08/09/2019
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