# LOVELACE HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARDENT LEGACY HOLDINGS, LLC
- **Other names:** Lovelace Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306914213
- **Legal business name:** ARDENT LEGACY HOLDINGS, LLC
- **Authorized official:** STEPHEN PETROVICH (CFO)
- **Authorized official phone:** (615) 296-3000

## Contact information

- **Practice address:** 601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
- **Practice address phone:** (505) 727-2805
- **Mailing address:** 601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 08/09/2019