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Organization
SANTA FE INDIAN HOSPITAL
Active
Organization
SANTA FE INDIAN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED GRANT PA-C (PA)
(505) 946-9272
Entity
Organization
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9272
(505) 983-6243
Mailing address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9272
(505) 983-6243
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA 42 2001
NM
Other
Enumeration date
12/20/2005
Last updated
08/22/2020
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