# SANTA FE INDIAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740266980
- **Authorized official:** MR. ED GRANT PA-C (PA)
- **Authorized official phone:** (505) 946-9272

## Contact information

- **Practice address:** 1700 CERRILLOS RD, SANTA FE, NM 87505-3554
- **Practice address phone:** (505) 946-9272
- **Practice address fax:** (505) 983-6243
- **Mailing address:** 1700 CERRILLOS RD, SANTA FE, NM 87505-3554
- **Mailing address phone:** (505) 946-9272
- **Mailing address fax:** (505) 983-6243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PA 42 2001 | NM | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 08/22/2020