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Organization
ST. VINCENT HOSPITAL
Active
Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Entrada Contenta Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TASSIN (CEO)
(505) 913-5201
Entity
Organization
Contact information
Practice address
5501 HERRERA DRIVE, SANTA FE, NM 87507-2677
(505) 000-0000
Mailing address
440 SAINT MICHAELS DR, CSV MEDICAL GROUP, SANTA FE, NM 87505-7602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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