# UNM HOSPITAL

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

## Provider details

- **NPI number:** 1770841728
- **Authorized official:** SUSAN GRACE MIKULEC PA (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (505) 272-2325

## Contact information

- **Practice address:** UNM HOSPITAL PEDIATRIC NEUROLOGY, 2211 LOMAS BLVD., 3RD FLOOR, ALBUQUERQUE, NM 87131-0001
- **Practice address phone:** (505) 272-2325
- **Practice address fax:** (505) 277-1363
- **Mailing address:** 2211 LOMAS BLVD., 3RD FLOOR, UNM HOSPITAL-PEDIATRIC NEUROLOGY, ALBUQUERQUE, NM 87131
- **Mailing address phone:** (505) 272-2325
- **Mailing address fax:** (505) 277-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PA2011-0042 | NM | Yes |

## Other

- **Enumeration date:** 04/27/2012
- **Last updated:** 04/27/2012