# HEART HOSPITAL OF NEW MEXICO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heart Hospital of New Mexico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417927021
- **Authorized official:** DONALD J FENTEM (DIRECTOR, BUSINESS OFFICE OPERATION)
- **Authorized official phone:** (972) 702-7500

## Contact information

- **Practice address:** 504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
- **Practice address phone:** (505) 724-2000
- **Practice address fax:** (505) 246-9933
- **Mailing address:** PO BOX 50270, LOS ANGELES, CA 90074-0001
- **Mailing address phone:** (505) 724-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 6782 | NM | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 01/23/2012