# ST. VINCENT HOSPITAL

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

## Provider details

- **NPI number:** 1619313285
- **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) 913-6130
- **Practice address fax:** (505) 913-5408
- **Mailing address:** 455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
- **Mailing address phone:** (505) 913-6130
- **Mailing address fax:** (505) 913-5408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NM | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 05/22/2013