# ST. VINCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Vincent Hospitalists Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336347731
- **Authorized official:** BRUCE TASSIN (PRESIDENT CEO)
- **Authorized official phone:** (505) 913-5202

## Contact information

- **Practice address:** 455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
- **Practice address phone:** (505) 989-6130
- **Practice address fax:** (505) 913-5408
- **Mailing address:** 455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | — |
| 2086S0127X | Trauma Surgery Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2007
- **Last updated:** 11/24/2014