# ST VINCENT HOSPITAL

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

## Provider details

- **NPI number:** 1912119298
- **Authorized official:** MR. J ALEX VALDEZ (CEO)
- **Authorized official phone:** (505) 983-3361

## Contact information

- **Practice address:** 5 PETROGLYPH CIRCLE, SUITE A, POJOAQUE, NM 87506
- **Practice address phone:** (505) 983-3361
- **Mailing address:** 455 SAINT MICHAELS DR, MEDICAL STAFF OFFICE, SANTA FE, NM 87505-7601
- **Mailing address phone:** (505) 820-5227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | MD2007-0167 | NM | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 01/07/2008