# ST. VINCENT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHRISTUS St. Vincent Palliative Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770982951
- **Authorized official:** BRUCE TASSIN (CEO/PRESIDENT)
- **Authorized official phone:** (505) 913-5202

## Contact information

- **Practice address:** 490B W ZIA RD, SUITE 4, SANTA FE, NM 87505-7008
- **Practice address phone:** (505) 913-3820
- **Practice address fax:** (505) 913-3829
- **Mailing address:** 490B W ZIA RD, SUITE 4, SANTA FE, NM 87505-7008
- **Mailing address phone:** (505) 913-3820
- **Mailing address fax:** (505) 913-3829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NM | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014